Tendinopathy of the Distal Biceps Tendon is a Common Incidental Finding on Magnetic Resonance Imaging of the Elbow

سال انتشار: 1403
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 72

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شناسه ملی سند علمی:

JR_TABO-12-10_006

تاریخ نمایه سازی: 16 مهر 1403

چکیده مقاله:

Objectives: The prevalence of tendinopathic changes of the distal biceps tendon (DBT) is not clear, in both the general population and patients with symptoms that may be related to distal biceps tendinopathy. The purpose of this study is to retrospectively determine the prevalence of distal biceps tendinopathy in symptomatic and asymptomatic patients undergoing an MRI of the elbow. A secondary aim is to assess the association between age and the prevalence of incidental distal biceps tendinopathy.Methods: We assessed ۱,۱۸۰ MRI-reports describing the elbow region and calculated prevalence of incidental and symptomatic DBT tendinopathies. Symptomatic DBT tendinopathy was defined as patients that had complaints of anterior elbow pain. With a multivariate logistic regression analysis we tested whether age, sex, and race were independently associated with DBT tendinopathy.Results: ۲۷۶ of ۱,۱۸۰ (۲۳%) of the distal biceps tendons showed signal changes on the MRI. Only ۱۱۴ (۱۰%) showed DBT tendinopathy, of which۶۰ (۵% of all tendons, ۵۳% of tendons with tendinopathy) were incidental. The prevalence peaked between ۴۰-۴۹.۹ years (۳۷%) and ۵۰-۵۹.۹ years (۳۰%). There was no significant association between increasing age and incidental DBT tendinopathy (P= ۰.۹۳۵). However, there was a significant association between increasing age and tendinopathy, whether the tendinopathy was incidental or symptomatic (P< ۰.۰۰۱).Conclusion: Signal changes in the DBT are common on MRI scans, however ۵۳% of detected tendinopathies are incidental. There is no association between increasing age and prevalence of incidental DBT tendinopathy, though there is a significant association between increasing age and DBT tendinopathy. Level of evidence: II

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نویسندگان

Celine Tuik

Hand and Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA

Rachel Cross

Hand and Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA

Yannick Albert J. Hoftiezer

Hand and Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA - Department of Plastic, Reconstructive and Hand Surgery, Radboudumc, Nijmegen, the Netherlands

Floris Raasveld

Hand and Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA- Department of Plastic, Reconstructive and Hand Surgery, ErasmusMC, Rotterdam, the Netherlands

Michel Van Den Bekerom

Department of Orthopaedic Surgery, OLVG, Amsterdam, the Netherlands -Department of Human Movement Sciences, Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands -Vrije

Neal Chen

Hand and Arm Center, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA- Harvard Medical School, Boston, MA, USA

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