Ultrasonographic Findings of Chronic Lateral Epicondylitis with Partial Tear before and after Prolotherapy. |
Kang, Si Hyun , Seo, Kyung Mook , Kim, Don Kyu , Shin, Ju Yon , Song, In Sup |
1Department of Rehabilitation Medicine, College of Medicine, Chungang University, Korea. doctorseo64@netsgo.com 2Department of Radiology, College of Medicine, Chungang University, Korea. |
부분 파열이 있는 만성 외측 상과염에서 프로로테라피 전후의 초음파 소견 |
강시현, 서경묵, 김돈규, 신주연, 송인섭1 |
중앙대학교 의과대학 재활의학교실, 1진단방사선과학교실 |
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Abstract |
Objective To compare the ultrasonographic findings of chronic lateral epicondylitis of elbow with partial tear of common extensor tendon before and after prolotherapy. Method The subjects were 12 cases of chronic lateral epicondylitis with partial tear of common extensor tendon, which were confirmed by ultrasonography. We examined the common extensor tendon with ultrasonography at initial visit. After injecting 15% dextrose solution monthly for five times, follow up ultrasonography was performed one month after last injection. Results Before prolotherapy, every case had anechoic focus without normal fibrillar pattern, which represented partial tear of tendon. Seven cases showed focal or diffuse hypoechoic foci with loss of normal fibrillar pattern of tendon, which represented tendinosis. After prolotherapy, initial anechoic foci were changed to smaller size with diffuse fibrillar pattern inside in 6 cases, to the same the sized hypoechoic foci with diffuse fibrillar pattern inside in 2 cases. And a few fibrillar pattern were seen within the initial anechoic focus in 1 case and most of anechoic foci were filled with fibrillar pattern except small anechoic foci in 3 cases. Conclusion Prolotherapy can help the recovery process of chronic lateral epicondylitis. And ultrasonography can be a useful method to evaluate the therapentic effect of lateral epicondylitis. (J Korean Acad Rehab Med 2004; 28: 88-93) |
Key Words:
Prolotherapy, Lateral epicondylitis, Ultrasonography, Partial tear, Common extensor tendon |
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