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Diagnostic accuracy of the characteristic ultrasound findings for Lateral Epicondylar Tendinopathy (LET) Table 5: Diagnostic accuracy of the characteristic ultrasound findings for Lateral Epicondylar Tendinopathy (LET) Figure 7: Normal US scan of the common extensor origin – lateral elbow Figure 8: Dynamic US allows for the comparison of symptomatic side (left) versus unaffected side (right) Figure 9: Ultrasound examination of the lateral elbow in Mill’s testing Figure 10: Ultrasound examination of the lateral elbow in resisted finger extension positions Treatment options (3) Primary care: assessment and establishing any red flags – imaging is not required unless considering alternative diagnosis

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218 For example, the troponin-tropomyosin complex, which regulates the interaction between actin and myosin, can be affected by changes in pH and ion concentrations during fatigue