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Internal Derangements of the Elbow 

Internal Derangements of the Elbow
Internal Derangements of the Elbow

Kathryn J. Stevens

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date: 25 June 2022

Chapter 105 covers elbow pain, which is a common presenting complaint, particularly in professional or recreational athletes, and can result in significant morbidity. Although radiographs, US, and CT may have a role to play in the investigation of elbow pain, MRI with its high spatial resolution, excellent soft tissue contrast, and multiplanar imaging capabilities, has emerged as the imaging modality of choice for diagnosis of soft tissue pathology and osteochondral injury around the elbow. MRI is invaluable in the evaluation of acute traumatic injuries of bone and soft tissues structures, particularly if a joint effusion is detected radiographically. Articular cartilage is well seen on MRI, particularly in the presence of a joint effusion. MRI is also beneficial in the evaluation of chronic elbow pain and overuse injuries and can diagnose osseous stress injury, osteochondral pathology, ligamentous instability, nerve pathology, and denervation changes of muscle.

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