elbow ultrasound (musculoskeletal imaging in primary care)

Last reviewed 01/2018

Elbow ultrasound

  • at the elbow, olecranon bursitis, golfer's and tennis elbow and ulnar nerve cubital tunnel impingement can be demonstrated

Notes:

Ultrasound applications

  • Articular pain, swelling or mechanical symptoms without definitive diagnosis
  • Shoulder pain or mechanical symptoms
  • Symptoms near a joint
  • Regional neuropathic pain to diagnose neural entrapment
  • Guiding articular/periarticular aspiration or injection
  • Diagnosis and treatment assessment of synovitis

Ultrasound advantages

  • Cheaper, more accessible and better tolerated than MRI
  • Preferred modality for tendinopathy and muscle trauma
  • As accurate as MRI in diagnosis of rotator cuff tears
  • Dynamic examination and intervention possible

Reference:

  • 1) Arthritis Research UK (Summer 2013). Hands on - Musculoskeletal imaging for GPs.