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LINKS

American Academy of Thermology

Deutsche Gesellschaft für Thermographie & Regulationsmedizin

European Association of Thermology

SCImago Journal & Country Rank

Find volumes prior to 2012 in Archive

 

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mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";} </style> <![endif]--> <meta name="author" content="kurt"> <!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="1026"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> <link rel="stylesheet" type="text/css" id="SL_Style" href="270258-Dateien/translator.css"> <style type="text/css"> h1,h2,h3,h4,h5,h6 { font-family: Garamond, serif; } </style> </head> <body style="tab-interval:35.4pt" vlink="purple" link="blue" lang="DE-AT"> <div class="WordSection1"> <p class="s1" style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt; margin-left:35.45pt;line-height:150%"><span style="font-size:16.0pt; line-height:150%;mso-ansi-language:EN-GB" lang="EN-GB">The Role of Infrared Thermal Imaging and <span class="SpellE">Sonography</span> in the Assessment of Patients With A Painful Elbow<o:p></o:p></span></p> <p class="s2" style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt; margin-left:35.45pt;line-height:150%"><span class="SpellE">Gabrhel</span> J<span class="s31"><span style="font-size:6.5pt;line-height:150%">1</span></span>, <span class="SpellE">Popracovб</span> Z<span class="s31"><span style="font-size:6.5pt; line-height:150%">2</span></span>, <span class="SpellE">Tauchmannovб</span> H<span class="s31"><span style="font-size:6.5pt;line-height:150%">3</span></span>, Ammer K<span class="s31"><span style="font-size:6.5pt;line-height:150%">4 </span></span></p> <p class="s4" style="margin-top:0cm;margin-right:16.15pt;margin-bottom:3.0pt; margin-left:35.45pt;text-indent:0cm;line-height:150%;mso-list:l0 level1 lfo2; tab-stops:list 0cm 18.0pt"><!--[if !supportLists]--><span style="mso-fareast-font-family:Garamond;mso-bidi-font-family:Garamond; mso-ansi-language:EN-GB" lang="EN-GB"><span style="mso-list:Ignore">1.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="mso-ansi-language:EN-GB" lang="EN-GB">Private Medical Practice for Treatment, Rehabilitation and Acupuncture, Thermal Imaging Diagnostics in <span class="SpellE">Trencin</span>, University of St. Cyril and Methodius in <span class="SpellE">Trnava</span>,<o:p></o:p></span></p> <p class="s4" style="margin-top:0cm;margin-right:16.15pt;margin-bottom:3.0pt; margin-left:35.45pt;text-indent:0cm;line-height:150%;mso-list:l0 level1 lfo2; tab-stops:list 35.45pt"><!--[if !supportLists]--><span style="mso-fareast-font-family: Garamond;mso-bidi-font-family:Garamond;mso-ansi-language:EN-GB" lang="EN-GB"><span style="mso-list:Ignore">2.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="mso-ansi-language:EN-GB" lang="EN-GB">National Institute of Rheumatic Diseases in <span class="SpellE">Pieatany</span>,<o:p></o:p></span></p> <p class="s4" style="margin-top:0cm;margin-right:16.15pt;margin-bottom:12.0pt; margin-left:35.45pt;text-indent:0cm;line-height:150%;mso-list:l0 level1 lfo2; tab-stops:list 35.45pt"><!--[if !supportLists]--><span style="mso-fareast-font-family: Garamond;mso-bidi-font-family:Garamond;mso-ansi-language:EN-GB" lang="EN-GB"><span style="mso-list:Ignore">3.<span style="font:7.0pt &quot;Times New Roman&quot;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="mso-ansi-language:EN-GB" lang="EN-GB">Medical Imaging Research Unit, University of South Wales, Pontypridd, United Kingdom<o:p></o:p></span></p> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%;tab-stops:list 3.0cm"><span style="font-size:12.0pt;line-height:150%;mso-fareast-font-family: &quot;Times New Roman&quot;;mso-ansi-language:EN-GB;font-weight:normal;mso-bidi-font-weight: bold" lang="EN-GB">BACKGROUND: The human elbow is the compound of 3 articulations: the <span class="SpellE">humeroradial</span>, the proximal <span class="SpellE">radioulnar</span> and the <span class="SpellE">humeroulnar</span> articulation. The joint capsule has recesses and synovial folds, and is reinforced by ligaments. Fourteen <span class="SpellE">bursae</span> have been described in the elbow region, and seventeen muscles are crossing the elbow joint. All these structures are potential sources of pain. The most common causes of elbow pain include medial and lateral <span class="SpellE">epicondylitis</span>.<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size: 12.0pt;line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-ansi-language: EN-GB;font-weight:normal;mso-bidi-font-weight:bold" lang="EN-GB">AIM OF THE STUDY: To investigate the value of infrared <span class="SpellE">thermography</span> and <span class="SpellE">sonography</span> for the differential diagnosis of elbow pain and to define the prevalence of causes of elbow pain in a group of patients referred for treatment to a private practice of rehabilitation medicine.<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size: 12.0pt;line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-ansi-language: EN-GB;font-weight:normal;mso-bidi-font-weight:bold" lang="EN-GB">METHOD: Retrospective chart review was conducted of patients with a painful elbow who were referred for treatment between January 2013 and December 2015, and underwent a complete clinical, musculoskeletal, <span class="SpellE">thermographic</span> and <span class="SpellE">sonographic</span> examination.<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size: 12.0pt;line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-ansi-language: EN-GB;font-weight:normal;mso-bidi-font-weight:bold" lang="EN-GB">RESULTS: In total 43 patients underwent a complete examination, 35 subjects of them had problems on one side only. 5 exhibited pain on both arms, either on the medial or lateral site and 3 patients had symptoms at the medial and lateral site of both elbows. Any painful finding on the elbow was defined as case, and the 43 subjects comprised in total 57 cases. The following clinical diagnosis were made: 21 cases with lateral <span class="SpellE">epicondylitis</span>, 13 cases with medial <span class="SpellE">epicondylitis</span>, 4 cases with bursitis, 14 cases with <span class="SpellE">sequelae</span> of injuries and 5 unclear cases. Thermal imaging detected 51 cases with increased tem- <span class="SpellE">perature</span>, 4 cases with decreased temperature and 5 cases exhibited normal temperatures. 45 <span class="SpellE">sonographic</span> examinations were positive and 12 were negative. Diagnostic sensitivity of thermal imaging for clinical diagnosis was 91%. The rate of true positive sonograms for clinical diagnosis was 71%.<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size: 12.0pt;line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-ansi-language: EN-GB;font-weight:normal;mso-bidi-font-weight:bold" lang="EN-GB">CONCLUSION: <span class="SpellE">Epicondylitis</span> is considered as the primary cause of elbow pain. In private practice of rehabilitation med- <span class="SpellE">icine</span>, however, they only represent slightly more than 50% of all the cases. Slightly less than half of all elbow pain show very different causes and their exact specification is difficult without the use of imaging techniques. Infrared imaging is highly sensitive in the case of <span class="SpellE">epicondylitis</span>, and can supplement morphology based imaging with information on the acuteness of morphological changes.<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.15pt;margin-bottom:12.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size: 12.0pt;line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-ansi-language: EN-GB;font-weight:normal;mso-bidi-font-weight:bold" lang="EN-GB">KEYWORDS: painful elbow, thermal imaging, <span class="SpellE">sonography</span>, <span class="SpellE">epicondylitis</span><o:p></o:p></span></h1> <h1 style="margin-top:12.0pt;margin-right:16.15pt;margin-bottom:6.0pt; margin-left:35.45pt;line-height:150%"><span style="font-size:12.0pt;line-height: 150%;mso-fareast-font-family:&quot;Times New Roman&quot;;font-weight:normal;mso-bidi-font-weight: bold">DIE BEDEUTUNG VON INFRAROTTHERMOGRAPHIE UND SONOGRAPHIE IN DER BEURTEILUNG VON PATIENTEN MIT SCHMERZEN AM ELLBOGEN<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size:12.0pt; line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;font-weight:normal; mso-bidi-font-weight:bold">HINTERGRUND: Der menschliche Ellenbogen ist die Verbindung dreier Gelenke: des proximalen <span class="SpellE">radioulnaren</span>, des <span class="SpellE">humeroradialen</span> und des <span class="SpellE">humeroulnaren</span> Gelenks. Die Gelenkkapsel zeigt <span class="SpellE">synoviale</span> Falten, hat <span class="SpellE">Recessi</span> und wird durch Bдnder verstдrkt. Vierzehn Schleimbeutel sind in der Ellbogen-Region beschrieben worden, und siebzehn Muskeln das ьberqueren Ellenbogengelenk. Alle diese Strukturen sind mцgliche Schmerzquellen. Als hдufigsten Ursachen fьr Ellbogenschmerzen gelten die mediale und laterale <span class="SpellE">Epikondylitis</span>.<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size:12.0pt; line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;font-weight:normal; mso-bidi-font-weight:bold">DAS ZIEL DER STUDIE war es einerseits den Wert der Infrarot-Thermografie und Sonographie fьr die Differential Diagnose von Ellbogenschmerzen zu untersuchen und andererseits die Prдvalenz der Ursachen von Ellbogenschmerzen in einer Gruppe von Patienten zu definieren, die zur Behandlung in eine Privat-Ordination fьr Rehabilitationsmedizin ьberwiesen worden waren.<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size:12.0pt; line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;font-weight:normal; mso-bidi-font-weight:bold">METHODE: Retrospektive Auswertung von Patientenkarteien, die wegen Ellenbogenschmerzen im Zeitraum zwischen Januar 2013 bis Dezember 2015 behandelt worden waren und eine vollstдndige klinische, <span class="SpellE">muskulo-skelettale</span>-, thermografische und <span class="SpellE">sonographische</span> Untersuchung absolviert hatten.<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size:12.0pt; line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;font-weight:normal; mso-bidi-font-weight:bold">ERGEBNISSE: Insgesamt 43 Patienten unterzogen sich einer vollstдndige Untersuchung. Von diesen hatten 35 Personen Probleme auf nur einer Seite. 5 boten Schmerzen an beiden Armen entweder auf die mediale oder laterale Seite und 3 Patienten hatten Symptome in der medialen und lateralen Seite beider Ellenbogen. Jede Schmerzmanifestation am Ellenbogen wurde Fall definiert und die 43 Personen umfassten insgesamt 57 Fдlle. Folgende klinische Diagnose wurden gestellt: 21 Fдlle mit lateraler <span class="SpellE">Epikondylitis</span>, 13 Fдlle mit medialer <span class="SpellE">Epikondylitis</span>, 4 Fдlle mit Schleimbeutelentzьndung, 14 Fдlle mit Folgeerscheinungen von Verletzungen und 5 unklare Fдlle. Die Wдrmebildtechnik fand 51 Fдlle mit erhцhter Temperatur, 4 Fдlle mit verminderter Temperatur und 5 Fдlle zeigten normale Temperatur. 45 <span class="SpellE">sonographische</span> Untersuchungen waren positiv und 12 waren negativ. Die diagnostische Sensitivitдt der Wдrmebildtechnik fьr die klinische Diagnose lag bei 91 %. Die Rate der <span class="SpellE">richtign</span> positiven <span class="SpellE">Sonogramme</span> fьr die klinische Diagnose betrug 71 %.<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size:12.0pt; line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;font-weight:normal; mso-bidi-font-weight:bold">SCHLUSSFOLGERUNG: <span class="SpellE">Epicondylitis</span> gilt als die primдre Ursache von Schmerzen im Ellbogen. In einer Privat- <span class="SpellE">Ordi</span>- <span class="SpellE">nation</span> fьr Rehabilitationsmedizin erklдren sie jedoch nur etwas mehr als 50 % aller Fдlle. Etwas weniger als die Hдlfte aller Ellbogenschmerzen zeigen sehr unterschiedliche Ursachen und ihre genauen Spezifikation ist ohne den Einsatz von bildgebenden Verfahren schwierig. Infrarot-Thermographie hat bei Fдllen von <span class="SpellE">Epicondylitis</span> eine hohe diagnostische Sensitivitдt und kann die Morphologie basierte <span class="SpellE">Bildgebung</span> mit Informationen ьber die <span class="SpellE">Akuitдt</span> morphologischer Verдnderungen ergдnzen<o:p></o:p></span></h1> <h1 style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt;margin-left: 35.45pt;text-align:justify;line-height:150%"><span style="font-size:12.0pt; line-height:150%;mso-fareast-font-family:&quot;Times New Roman&quot;;font-weight:normal; mso-bidi-font-weight:bold">SCHLЬSSELWЦRTER: Ellbogenschmerz, Thermographie, Sonographie, <span class="SpellE">Epikondylitis</span><o:p></o:p></span></h1> <p class="s4" style="margin-top:0cm;margin-right:16.2pt;margin-bottom:6.0pt; margin-left:35.45pt;text-align:justify;line-height:150%"><span class="SpellE">Thermology</span> international 2017, 27(2)58-66</p> </div> <div id="SL_balloon_obj" style="display: none;"><div id="SL_button" style="background: transparent url(&quot;chrome://imtranslator/content/img/util/imtranslator-s.png&quot;) repeat scroll 0% 0%; 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