Lateral Elbow Tendinopathy (Tennis Elbow), Lateral Epicondylitis
Conditions
Keywords
Lateral Epicondylitis, Lateral Elbow Tendinopathy, Tennis Elbow, Enthesitis, Madrid Sonographic Enthesitis Index, MASEI
Brief summary
Lateral epicondylitis (LE) is the tendinopathy of the common extensor tendon. Although exact etiology remains unclear, it is believed to be caused by overuse. Even though, genetics factor related to tendinopathies were defined accompanying tendinopathies in patients with LE is yet to be studied. Madrid sonographic enthesitis index (MASEI) is an ultrasound based scoring system, developed for the evaluation of the enthesitis. Initially developed for ankylosing spondylitis, its usage has also become widespread in other musculoskeletal diseases. The aim of this study is to calculate the MASEI score in patients diagnosed with LE, and compare it to healthy volunteers.
Interventions
DIAGNOSTIC_TESTMadrid Sonographic Enthesitis Index
Patients will be evaluated with ultrasound at 6 different locations on each side, for total of 12 locations. These will be insertion points of triceps brachii tendon, quadriceps tendon, proximal and distal patellar tendons, achilles tendon and the plantar fascia. Evaluation parameters are the structure and thickness of the tendon, the presence of calcifications or enthesophytes, erosions in the bone, regional bursitis, and the presence of power-Doppler signal in the entheses.
Sponsors
Marmara University
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Tenderness with palpation at the lateral epicondyle * Pain aggravated with resisted wrist extension
Exclusion criteria
* History of rheumatologic diseases * History of elbow, knee or ankle surgery * History of corticosteroid injections on elbow, knee or ankle * History of peripheral neuropathy * Acute trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Madrid Sonographic Enthesitis Index | At enrollment | Patients will be evaluated with ultrasound at 6 different locations on each side, for total of 12 locations. At each location; structure and thickness of the tendon, the presence of calcifications or enthesophytes, erosions in the bone, regional bursitis, and the presence of power-Doppler signal will be noted. Each parameter has a point of its own. Points obtained from each parameter will be added and total MASEI score (0-136) will be calculated. Higher scores indicate the presence of enthesitis. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactArda Can Kasap, MD
Outcome results
None listed