Reason: stiffness of the L.arm, H/O L.elbow fracture History: contracture of the L. Elbow LIGAMENTS: The ulnar collateral and radial collateral ligaments appear intact. The lateral ulnar collateral ligament appears intact.TENDONS: The common flexor tendon appears intact. There is minimal intermediate signal intensity within the common extensor tendon indicating mild tendinosis. The common extensor tendon appears intact. The biceps and brachialis tendon appear intact. The triceps tendon appears intact.ARTICULAR SURFACES AND BONE: There is deformity of the medial aspect of the radial head with near full-thickness to full thickness articular cartilage degeneration and underlying subchondral signal abnormality best seen on the axial T2 fat saturated sequence (series 6; image 16 and series 14; image 12). This appears most consistent with the sequela of a prior radial head fracture although the possibility of an osteochondral defect cannot be completely excluded. There is also irregularity of the capitellum with full-thickness articular cartilage degeneration also likely related to prior trauma. There is osteophyte formation indicating mild osteoarthritis. No definite loose body is identified.SURROUNDING STRUCTURES: The remainder of the imaged musculature and soft tissues are unremarkable.ADDITIONAL
1. Deformity of the medial aspect of the radial head with radiocapitellar articular cartilage degeneration that appears most consistent with the sequela of prior remote trauma. However, an osteochondral defect cannot be completely excluded. There is also irregularity of the capitellum with full-thickness articular cartilage degeneration which may also likely related to prior trauma. 2. Osteoarthritis of the elbow. Other findings as described.