Association of real-time sonoelastography findings with clinical parameters in lateral epicondylitis

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dc.authorid0000-0003-3976-9530
dc.contributor.authorKoçyiğit, Figen
dc.contributor.authorKuyucu, Ersin
dc.contributor.authorKoçyiğit, Ali
dc.contributor.authorHerek Tuncer, Duygu
dc.contributor.authorŞavkın, Raziye
dc.contributor.authorAslan Baş, Ümmühan
dc.contributor.authorKarabulut, Nevzat
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:02:54Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:02:54Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000367808500012
dc.descriptionPubMed ID: 26342298
dc.description.abstractThe objective of this study was to investigate the role of real-time sonoelastography (RTSE) in patients with lateral epicondylitis (LE) and whether it is associated with clinical parameters. Seventeen patients with unilateral LE were enrolled in the study. The healthy elbows of the participants constituted the control group. Using B-mode ultrasound, color Doppler ultrasound, and RTSE, we prospectively examined 34 common extensor tendon elbows of 17 patients. Both color scales and strain ratio were used for evaluating RTSE images. Two radiologists evaluated the RTSE images separately. Elbow pain was scored on a 100-mm visual analog scale (VAS). Symptom duration and the presence of nocturnal pain were questioned. Quick disabilities of arm shoulder and hand (DASH) Questionnaire was applied to assess the pain, function, and disability. Nottingham health profile (NHP) was used to determine and quantify perceived health problems. Both color scales and strain ratios of the affected tendon portions were significantly different from that of healthy tendons (p < 0.001). There was no significant association between NHP, VAS, Quick DASH scores, and color scales and strain ratio. Strain ratio of the medial portion of the affected tendon was significantly correlated with symptom duration (rho = -0.61 p = 0.010) and nocturnal pain (rho = 0.522 p = 0.031). Interobserver agreement was substantial for color scales (kappa = 0.74, p = 0.001) and strain ratio (ICC = 0.61, p = 0.031). RTSE may facilitate differentiation between healthy and affected elbows as a feasible and practical supplementary method with substantial interobserver agreement. RTSE was superior to B-mode ultrasound and color Doppler ultrasound in discriminating tendons with LE. Strain ratio of the medial portion of the tendon is associated moderately with nocturnal pain and symptom duration. No other associations were present between RTSE findings and clinical or functional parameters.
dc.identifier.citationKoçyiğit, F., Kuyucu, E., Koçyiğit, A., Herek Tuncer, D., Şavkın, R., Aslan Baş, Ü. ... Karabulut, N. (2016). Association of real-time sonoelastography findings with clinical parameters in lateral epicondylitis. Rheumatology International, 36(1), 91-100. https://dx.doi.org/10.1007/s00296-015-3356-4
dc.identifier.doi10.1007/s00296-015-3356-4
dc.identifier.endpage100
dc.identifier.issn0172-8172
dc.identifier.issn1437-160X
dc.identifier.issue1
dc.identifier.scopusqualityQ2
dc.identifier.startpage91
dc.identifier.urihttps://dx.doi.org/10.1007/s00296-015-3356-4
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3762
dc.identifier.volume36
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Heidelberg
dc.relation.ispartofRheumatology Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMusculoskeletal Disease
dc.subjectElbow Joint
dc.subjectUltrasound
dc.subjectQuality of Life
dc.titleAssociation of real-time sonoelastography findings with clinical parameters in lateral epicondylitis
dc.typeArticle

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