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    题名: Extracorporeal shock wave therapy for calcifying tendinitis of the shoulder
    作者: 許晉榮(Chin-Jung Hsu);許弘昌(Horng-Chaung Hsu)*;王德源(Der-Yean Wang);馮逸卿(Yi-Chin Fong);曾國峰(Kuo-Fung Tseng);(Yick-Fung Jim)
    贡献者: 中醫學院中醫學系學士班中醫外傷學科;中國附醫骨科部
    日期: 2008-01
    上传时间: 2009-08-20 17:58:36 (UTC+8)
    摘要: We prospectively studied extracorporeal shock wave
    therapy (ESWT) for calcific tendinitis of the shoulder in 46
    consecutive patients. All patients were randomly divided
    into 2 groups: treatment and control. The 33 patients in
    the treatment group received 2 courses of ESWT at the
    energy density of 0.55 mJ/mm2 (1000 impulses). The
    control group underwent sham treatment with a dummy
    electrode (13 patients). Evaluation included the Constant
    score, pain scale, and radiographs. The ESWT results
    were good to excellent in 87.9% of shoulders (29/33)
    and fair in 12.1% (4/33), and the control results were
    fair in 69.2% (9/13) and poor in 30.1% (4/13). Among
    ESWT patients, calcium deposits were completely
    eliminated in 7 cases (21.2%), partially eliminated in 11
    (36.3%), and unchanged in 15 (45.4%). In contrast,
    elimination was partial in 2 control patients (15.3%) and
    unchanged in 11 (84.7%). There was no significant
    difference between Ga¨rtner type I and type II groups in
    the Constant score ( P >.05). ESWT shows promise for
    pain relief and functional restoration of calcific tendinitis
    with negligible complications. (J Shoulder Elbow Surg
    2008;17:55-59.)
    Over the past 30 years, extracorporeal shock wave
    lithotripsy has been considered by urologists to be
    the gold standard in treating renal calculi, and the
    revolutionary method has almost completely replaced
    invasive surgery worldwide. More recently, extracorporeal
    shock wave therapy (ESWT) has been used to
    treat conditions such as nonunion of fractures, lateral
    epicondylitis, plantar fasciitis, and calcific tendinitis
    of the shoulder. It has shown promise in the promotion
    of fracture healing and repair of tendinopathies.
    11,1
    關聯: JOURNAL OF SHOULDER AND ELBOW SURGERY 17(1):55~59
    显示于类别:[中醫學系暨碩博班] 期刊論文

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