Case study: Lateral epicondylitis – Injection
May 3, 2024
A 30-year-old woman, an ultrasound application specialist, presented with lateral elbow pain on her left upper limb for 4 years following a trivial injury. She has been on rest, splints, analgesics, and a steroid injection as well without much relief.
Physical examination
- No localized redness or swelling
- Tenderness over the lateral epicondyle
- Positive Cozen’s test
Ultrasound findings
- Heterogeneity of the common extensor tendon
- Cortical irregularities over the lateral epicondyle
- Calcification within the common extensor tendon
- Neoangiogenesis on color Doppler examination
Diagnosis
The patient was diagnosed with lateral epicondylitis, commonly known as tennis elbow. This is a tendinopathy injury involving the common extensor tendon characterized by inflammation and microscopic tearing of the tendo
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