Imaging of the elbow
J Teh, MRCP, FRCR1,
V Sukumar, FRCR1 and
S Jackson, MRCP, FRCR2
1 Department of Radiology, Nuffield Orthopaedic Centre NHS Trust, Windmill Road, Headington, Oxford OX3 7LD and 2 Department of Radiology, Salford Royal Hospitals NHS Trust, Stott Lane, Salford, Greater Manchester, M6 8HD, UK
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Figure 1. Lateral radiograph of the elbow demonstrating elevation of the anterior (arrowheads) and posterior (black arrows) fat pads due to a radial head fracture (white arrow).
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Figure 2. Normal anatomy. Coronal T1 weighted image demonstrating the common flexor origin (arrowhead) and the ulnar collateral ligament (arrow) inserting onto the medial epicondyle.
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Figure 3. Normal anatomy. Coronal T1 weighted image demonstrating the common extensor origin (arrow) inserting onto the lateral epicondyle.
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Figure 4. Normal anatomy. Axial T1 weighted image at the level of the olecranon (marked olec) demonstrating the biceps tendon (white arrow) and the median nerve (white arrowhead) adjacent to the brachial artery. The ulnar nerve (black arrowhead) is seen lying in the ulnar groove.
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Figure 5. Normal anatomy. Axial T1 weighted image demonstrating the biceps tendon (arrow) as it dips down between the medial and lateral muscle groups.
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Figure 6. Normal anatomy. Axial T1 weighted image demonstrating the insertion of biceps tendon onto the radial tuberosity.
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Figure 7. The "Popeye" sign. There is retraction of the biceps muscle belly indicating biceps tendon rupture.
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Figure 8. Normal ultrasound anatomy. Longitudinal ultrasound demonstrating the distal biceps tendon (arrows) inserting onto the radial tuberosity (R.T.).
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Figure 9. Longitudinal ultrasound demonstrating a rupture of the distal biceps tendon with fluid/haemorrhage in the gap. Doppler shows the position of the brachial vessels.
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Figure 10. Sagittal short tau inversion recovery image demonstrating rupture of the distal biceps tendon with retraction of the tendon ends (arrows).
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Figure 11. Axial T2 fat saturated image demonstrating the proximal retracted tendon end with high signal oedema and haemorrhage at the musculotendinous junction.
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Figure 12. Normal anatomy. Longitudinal ultrasound image demonstrates the common extensor origin (arrowheads) which overlies the lateral collateral ligament (arrows).
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Figure 13. Longitudinal ultrasound image demonstrates absence of the lateral collateral ligament (arrows) indicating a tear. The common extensor origin is intact (arrowheads).
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Figure 14. Coronal short tau inversion recovery image demonstrating high signal in the common extensor origin (arrow) consistent with lateral epicondylitis.
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Figure 15. Longitudinal ultrasound image demonstrating increased flow within the common extensor origin indicating lateral epiconylitis.
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Figure 16. Sagittal T1 weighted image demonstrating elevation of the anterior (arrows) and posterior (arrowheads) fatpads indicating synovitis, in a patient with rheumatoid arthritis.
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Figure 17. Sagittal short tau inversion recovery image demonstrating high signal within the elbow joint indicating a joint effusion or synovial hypertrophy.
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Figure 18. Longitudinal ultrasound demonstrating fluid (arrow) in the olecranon fossa (arrowheads) in a patient with an inflammatory synovitis.
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Figure 19. Sagittal gradient echo image demonstrating synovitis with low signal deposits within the synovial lining consistent with haemosiderin, in a patient with haemophilia.
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Figure 20. Sagittal ultrasound demonstrating an echogenic mass in the olecranon fossa consistent with an ossified loose body.
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Figure 21. Plain radiograph demonstrating several ossified loose bodies within the elbow in a patient with synovial osteochondromatosis.
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Figure 22. Sagittal gradient echo image demonstrating a mixed signal loose body in the olecranon fossa in a patient with synovial osteochondromatosis.
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Figure 23. Coronal short tau inversion recovery image demonstrating an osteochondral defect of the capitellum with some minor surrounding oedema, in addition to an intra-articular loose body (arrowheads).
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Figure 24. Same patient as Figure 23 . Sagittal T1 weighted image demonstrating an osteochondral defect of the capitellum (arrow).
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Figure 25. Longitudinal ultrasound demonstrating an enlarged fluid filled olecranon bursa (arrows).
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Figure 26. Sagittal short tau inversion recovery image demonstrating a grossly enlarged and inflamed olecranon bursa (arrows).
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Figure 27. Axial gradient echo image demonstrating a low signal sequestrum (white arrow) in the olecranon indicating osteomyelitis. There is also a septic arthropathy (black arrows).
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Figure 28. Sagittal T2 weighted image demonstrating a fluid signal mass (arrows) surrounding the biceps tendon consistent with cubital bursitis.
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Figure 29. Sagittal short tau inversion recovery image demonstrating a heterogeneous high signal lobulated mass (black arrows) surrounding the biceps tendon (arrowheads) consistent with marked synovial hypertrophy in the cubital bursa (asterisks), in a patient with psoriatic arthropathy of the elbow.
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Figure 30. Axial ultrasound demonstrating displacement of the ulnar nerve (arrow) due to an osteophyte (arrowhead) in the ulnar groove.
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Copyright © 2003 by the British Institute of Radiology.
