Acute Elbow and Forearm Pain US Area of Interest There is no evidence to support the use of diagnostic US of the elbow/proximal forearm as the imaging study for the evaluation of acute elbow and forearm pain. There are 2 studies discussing point-of-care US that are too small to support use in this setting [11,12]. Variant 3: Adult. Acute elbow or forearm pain. Suspect tendon or ligament or muscle injury. Radiographs normal or indeterminate. Next imaging study. Bone Scan Area of Interest There is no evidence to support the use of 3-phase bone scan for the assessment of tendon, ligamentous, or muscle injury. CT Area of Interest With IV Contrast There is no evidence to support the use of contrast-enhanced CT of the elbow/proximal forearm for the assessment of tendon, ligamentous, or muscle injury. CT Area of Interest Without and With IV Contrast There is no evidence to support the use of noncontrast/contrast-enhanced CT of the elbow/proximal forearm for the assessment of tendon, ligamentous, or muscle injury. CT Area of Interest Without IV Contrast There is no evidence to support the use of noncontrast CT of the elbow/proximal forearm for the assessment of tendon, ligamentous, or muscle injury. MRI Area of Interest Without and With IV Contrast There is no evidence to support the use of noncontrast/contrast-enhanced MRI of the elbow/proximal forearm as the for the assessment of tendon, ligamentous, or muscle injury. MRI Area of Interest Without IV Contrast Several studies have evaluated the use of noncontrast MRI in the assessment for ligamentous and tendinous injury [13]. Tarallo et al showed the best interobserver agreement in the assessment of lateral collateral complex injuries and the worst interobserver reliability for the UCL [7,14-18]. Athletes are prone to both acute and chronic overuse injuries of the elbow [13]. In a study of elbow injuries incurred during participation of the Rio de Janeiro 2016 Summer Olympic Games, Alizai et al [20] showed a predominance of UCL injury.
Acute Elbow and Forearm Pain. Acute Elbow and Forearm Pain US Area of Interest There is no evidence to support the use of diagnostic US of the elbow/proximal forearm as the imaging study for the evaluation of acute elbow and forearm pain. There are 2 studies discussing point-of-care US that are too small to support use in this setting [11,12]. Variant 3: Adult. Acute elbow or forearm pain. Suspect tendon or ligament or muscle injury. Radiographs normal or indeterminate. Next imaging study. Bone Scan Area of Interest There is no evidence to support the use of 3-phase bone scan for the assessment of tendon, ligamentous, or muscle injury. CT Area of Interest With IV Contrast There is no evidence to support the use of contrast-enhanced CT of the elbow/proximal forearm for the assessment of tendon, ligamentous, or muscle injury. CT Area of Interest Without and With IV Contrast There is no evidence to support the use of noncontrast/contrast-enhanced CT of the elbow/proximal forearm for the assessment of tendon, ligamentous, or muscle injury. CT Area of Interest Without IV Contrast There is no evidence to support the use of noncontrast CT of the elbow/proximal forearm for the assessment of tendon, ligamentous, or muscle injury. MRI Area of Interest Without and With IV Contrast There is no evidence to support the use of noncontrast/contrast-enhanced MRI of the elbow/proximal forearm as the for the assessment of tendon, ligamentous, or muscle injury. MRI Area of Interest Without IV Contrast Several studies have evaluated the use of noncontrast MRI in the assessment for ligamentous and tendinous injury [13]. Tarallo et al showed the best interobserver agreement in the assessment of lateral collateral complex injuries and the worst interobserver reliability for the UCL [7,14-18]. Athletes are prone to both acute and chronic overuse injuries of the elbow [13]. In a study of elbow injuries incurred during participation of the Rio de Janeiro 2016 Summer Olympic Games, Alizai et al [20] showed a predominance of UCL injury.