Concepte de anatomie clinică ale regiunii cotului

Abstract

Introduction. The causes of pain in the elbow region are frequently represented by fractures, dislocations, but also by soft tissue injuries. The objective is to correlate painful symptoms with anatomical markers (bone, muscle, nerve) and paraclinical tests. Material and methods Patients presented to rheumatology clinic were clinically and paraclinically examined by musculoskeletal ultrasound. Results and discussions There are three muscle groups at the cubital fossa; the humeral epicondyles and the olecranon of the ulna are palpated at the olecranon ̍region. Tennis elbow is an inflammation of the tendons of the lateral epicondyle muscles, especially the tendon of the extensor carpi radialis brevis. The pain is exacerbated when the hand and fingers are forced to stretch with the elbow extended. In golferʼ elbow, spontaneous and palpation pain occur at 1-2 cm. below the origin of the medial epicondyle muscles, aggravated by flexion and pronation of the hand. The studentʼs elbow shows retroolecranon bursitis and also pain pressure and tumefaction. Compression of the ulnar nerve as it passes through the epitrochleo- olecranon canal causes ulnar tunnel syndrome. Musculoskeletal ultrasound results were correlated with clinical signs. Conclusions Ultrasound and RMN determined the type of lesion, locations and prognosis.