Elbow pain Exam is slightly limited by motion artifact.LIGAMENTS: The ulnar and lateral collateral ligaments are intact.TENDONS: There is thickening and intermediate signal of the distal biceps tendon at its insertion on the radius indicating tendinosis with a possible small interstitial tear noted just proximal to the insertion. There is no fluid-filled surface tear identified, however. There is mild soft tissue inflammation about the biceps tendon distally although the biceps muscle is normal. The brachialis tendon is normal. The triceps tendon is normal.There is minimal edema within the medial epicondyle of the distal humerus with a small focus of increased signal within the common flexor tendon at its origin (best seen on series 7 image 7). A tiny amount of fluid is also seen superficial to the common flexor tendon origin. These changes likely represent focal degeneration with associated reactive marrow change. There is mild intermediate signal intensity within the common extensor origin also likely reflecting mild tendinosis.ARTICULAR SURFACES AND BONE: Small defects in the capitellum posteriorly likely represent normal variation. There is no significant osteoarthritis and the remaining bone marrow signal is otherwise normal. SURROUNDING STRUCTURES: The remaining soft tissues of the elbow appear normal.
1. Mild to moderate insertional tendinosis of the biceps with possible small interstitial tear just proximal to the insertion.2. Mild tendinosis of the common flexor and common extensor origins.