With the current popularity of racket and throwing sports, the number
of individuals seeking medical care for elbow pain and dysfunction has
increased rapidly. Before the development and implementation of magne
tic resonance imaging (MRI), radiologic imaging examinations provided
the treating physician limited information to determine the precise et
iology of elbow disorders, because they usually involve soft-tissue st
ructures. With MRI, it is now possible to accurately assess the integr
ity of the ligaments, tendons, and muscles surrounding the elbow, and
to detect pathologic changes in these tissues secondary to acute macro
trauma or chronic microtrauma, e.g., overuse injuries. By defining the
nature and extent of these abnormalities, the choice of the appropria
te therapeutic regimen is facilitated. With MRI, it is also now possib
le to noninvasively evaluate the natural history of these soft-tissue
disorders and to determine the effects of different therapeutic interv
entions.