Ultrasonographic Examination of Other Enthesitis Sites in Patients With Lateral Epicondylitis

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-60
SponsorMarmara University

About this trial

Lateral epicondylitis (LE) is the tendinopathy of the common extensor tendon. Although exact etiology remains unclear, it is believed to be caused by overuse.

Even though, genetics factor related to tendinopathies were defined accompanying tendinopathies in patients with LE is yet to be studied.

Madrid sonographic enthesitis index (MASEI) is an ultrasound based scoring system, developed for the evaluation of the enthesitis. Initially developed for ankylosing spondylitis, its usage has also become widespread in other musculoskeletal diseases.

The aim of this study is to calculate the MASEI score in patients diagnosed with LE, and compare it to healthy volunteers.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Tenderness with palpation at the lateral epicondyle

Pain aggravated with resisted wrist extension

Disqualifiers

History of rheumatologic diseases

History of elbow, knee or ankle surgery

History of corticosteroid injections on elbow, knee or ankle

History of peripheral neuropathy

Trial population

Patients presented to the outpatient clinic of Physical Medicine and Rehabilitation of Marmara University with elbow pain and diagnosed with lateral epicondylitis will be informed about the study. Willing patients will be enrolled after written consent is taken. Control group will be chosen with volunteers, which have similar demographic characteristics.

Trial design

Design model

Case-control

Time perspective

Cross-sectional

Treatments tested in this trial

  • Madrid Sonographic Enthesitis Index

    Diagnostic test

    Patients will be evaluated with ultrasound at 6 different locations on each side, for total of 12 locations. These will be insertion points of triceps brachii tendon, quadriceps tendon, proximal and distal patellar tendons, achilles tendon and the plantar fascia. Evaluation parameters are the structure and thickness of the tendon, the presence of calcifications or enthesophytes, erosions in the bone, regional bursitis, and the presence of power-Doppler signal in the entheses.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Lateral Epicondylitis1 intervention
Group B: Control1 intervention

Trial outcomes

Primary outcomes

1

Madrid Sonographic Enthesitis Index

Patients will be evaluated with ultrasound at 6 different locations on each side, for total of 12 locations. At each location; structure and thickness of the tendon, the presence of calcifications or enthesophytes, erosions in the bone, regional bursitis, and the presence of power-Doppler signal will be noted. Each parameter has a point of its own. Points obtained from each parameter will be added and total MASEI score (0-136) will be calculated. Higher scores indicate the presence of enthesitis.

Time frame
At enrollment

Secondary outcomes

Other outcomes

Sponsors and contacts

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