Case Challenge

Elbow & Forearm

Stephen J Pomeranz

Gain confidence interpreting Elbow MRI with practice cases from MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME. Try it free!

X-Ray (Plain Films)

Case Review

Musculoskeletal (MSK)

Post-Course Activities

This Power Pack is comprised of 25 unique Elbow MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Elbow MRI Cases

Case 6 - 47-year-old female presents with left elbow pain

<div>HISTORY:&#160;This 47-year-old female presents with left elbow pain, distal biceps tendinitis clinically, and tennis elbow clinically for six months.(QUIZ ANSWER) IS A FINDING IN THIS CASE:&#160;Common extensor origin tendinosis / strain.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: The brachialis and triceps tendons are intact. Low-grade distal biceps tendinosis/strain present, decreased in severity compared to the prior exam. There is no distal biceps tendon tear. Small amount of elbow joint effusion present.&#160;Subcentimeter subcortical pseudocyst is again noted at the capitellum and lying immediately anterior/ventral to the capitellar pseudodefect. Hypertrophic common extensor origin tendinosis/strain present with few thin interstitial tears. Common extensor peritendinitis also present with overlying lateral/radial elbow subcutaneous soft tissue edema. There is also a small area of moderate-grade strain/edema of the nearby proximal flexor digitorum superficialis muscle. Low-grade swelling/sprain of the underlying RCL complex present without tear.&#160;The common flexor tendon origin and underlying UCL complex are intact. The course of the ulnar nerve in the cubital tunnel is normal.&#160;IMPRESSION: Hypertrophic common extensor origin tendinosis/strain with few small interstitial tears. Surrounding soft tissue swelling.&#160;Strain of the nearby proximal FDS muscle. Intact RCL complex.&#160;Joint effusion.&#160;Low-grade distal biceps tendinosis. No distal biceps tendon tear.</div>

Case

Common extensor origin tendinosis / strain

Which of the following IS a finding in this case?