Table I.
Elbow |
Diagnosis |
Value of 4D CT scan |
||||
---|---|---|---|---|---|---|
Age, sex | Before 4D CT | After 4D CT | Diagnosis | Interpretation | Management | |
1 | 75, M | Post capitellum ORIF. ?PLRI | Healed fracture with PLRI | + | + | + |
2 | 42, M | Subacute coronoid + radial head#. ?Fragment mobility | Healing fractures. No mobility | + | + | + |
3 | 44, M | Recent dislocation. ?PLRI | Stable elbow | + | + | + |
4 | 29, M | ?PLRI | Stable elbow | + | + | + |
5 | 19, M | OCD + loose body | OCD + loose body | - | - | - |
6 | 28, F | ?PLRI | Stable elbow | + | + | + |
7 | 48, M | Pain and clicking. Malunited radial head fracture | Clicking from loose body | ++ | + | + |
8 | 42, F | ORIF radial head. ?Implant impingement | Implant impingement confirmed | + | + | + |
9 | 20, M | Hemimelia +/- PLRI | Hemimelia + global instability | ++ | + | + |
10 | 48, M | Early OA | Normal joint | + | + | + |
11 | 47, F | Post radial head excision. ?Bony impingement | Radial tuberosity impingement and scar tissue | + | + | + |
12 | 68, F | Bicipital tendinitis vs. impingement | Bicipital tendinitis. Early OA. | + | + | + |
13 | 62, M | ? Radial head instability. Previous distal biceps repair | Stable joint | + | + | + |
14 | 57, M | Bicipital impingement | Biceps tendinitis | + | + | + |
15 | 57, F | Bicipital impingement | Bicipital impingement, osteophyte | + | + | - |
16 | 84, M | Bicipital impingement | No impingement. Partial biceps tear | + | + | + |
17 | 57, M | Bicipital tendinitis. ?impingement | Bicipital tendinitis, partial tear. No impingement | + | + | + |
18 | 69, M | Pain. ?OA | Bicipital tendinitis | ++ | + | + |
19 | 77, F | Bicipital tendinitis + radial tuberosity impingement | Bicipital tendinitis, partial tear + radial tuberosity impingement | + | + | + |
20 | 57, M | Bicipital impingement | Biceps tendinitis | + | + | + |
21 | 48, M | Pain after distal biceps repair. ?Tuberosity impingement | Biceps tendinitis | + | + | + |
22 | 69, M | Pain. ?OA | Bicipital tendinitis | ++ | + | + |
23 | 71, M | OA + radial head implant loosening | OA + radial head implant loosening | - | + | - |
24 | 56, M | OA + loose bodies | OA + loose bodies | - | - | - |
25 | 48, M | OA + ulnar neuritis + stiffness | OA + impinging osteophytes | - | + | - |
26 | 72, M | OA + loose bodies | OA + loose bodies, osteophytes | - | + | - |
27 | 77, M | OA | OA + RC instability | + | + | + |
28 | 25, M | OA + stiffness | OA + impinging osteophytes | - | + | - |
29 | 55, M | OA + loose body | OA + impinging osteophyte | + | + | + |
30 | 77, M | OA | OA + RC instability | + | + | + |
31 | 72, F | OA | OA | - | - | - |
32 | 55, M | OA + clicking + loose bodies | OA. Loose bodies not engaging | + | + | + |
33 | 44, F | OA + instability. | OA + instability | - | + | - |
34 | 74, M | OA + ulna neuritis | OA + instability + ulna neuritis | + | + | + |
35 | 71, F | OA + instability, | OA + instability | - | + | - |
4D CT, four-dimensional computed tomography; PLRI, posterolateral rotatory instability; OA, osteoarthritis; RC, radiocapitellar; OCD, osteochondritis dessicans.
Note: Changes in the primary (++) and secondary (+) diagnosis.