Songur K., Erdinç Gündüz N., Ellidokuz H., Gulbahar S., Dilek B.
AMERICAN JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION, cilt.104, sa.6, ss.501-505, 2025 (SCI-Expanded)
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Yayın Türü:
Makale / Tam Makale
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Cilt numarası:
104
Sayı:
6
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Basım Tarihi:
2025
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Doi Numarası:
10.1097/phm.0000000000002655
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Dergi Adı:
AMERICAN JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
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Derginin Tarandığı İndeksler:
Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, SportDiscus
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Sayfa Sayıları:
ss.501-505
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Anahtar Kelimeler:
Lateral Epicondylitis, Tennis Elbow, Tendon Tear, Ultrasonography
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Dokuz Eylül Üniversitesi Adresli:
Evet
Özet
Abstract
Objective
This study investigates the effect of partial common extensor tendon(CET) tears on demographic, clinical and ultrasound(US) parameters in patients with lateral epicondylitis(LE). The research aimed to provide a comprehensive understanding of how these US-detected partial tears, influence the clinical presentation and imaging findings associated with LE.
Design
Retrospective cross-sectional study. Records of 227 patients with LE met the inclusion-exclusion criteria were reviewed. The patient-rated tennis elbow evaluation(PRTEE) questionnaire was used as the primary outcome measure. Secondary outcome measures were visual analogue scale for pain, algometric measurements, hand grip strength, and US parameters(maximum tendon thickness measurements from the capitellar-radiocapitellar sides and presence of bone abnormalities).
Results
Partial CET tears detected using US were present in 22.7%(n = 54) of the patients. Patients with partial CET tears were older(50,31±9,22), had higher PRTEE scores(65,48±12,76), capitellar-radiocapitellar maximum tendon thickness measurements(0,60±0,80/0,60±0,72), and incidence of bone abnormalities(%40.7,n = 32)(p < .05). Logistic regression analysis identified age and PRTEE pain score as associative factors with partial CET tears. Capitellar-radiocapitellar maximum tendon thickness measurements greater than 0.55 cm were associated with an increased probability of partial CET tears.
Conclusion
US-detected partial CET tears may worsen the clinical and US parameters in patients with LE. Older age, higher PRTEE scores and higher maximum tendon thickness measurements were associated with partial CET tears.