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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Extracorporeal shock wave therapy for chronic calcifying tendinitis of the shoulder
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Extracorporeal shock wave therapy for chronic calcifying tendinitis of the shoulder

机译：体外冲击波疗法治疗肩膀慢性钙化性肌腱炎

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Over the past few years, extracorporeal shock wave therapy (ESWT) has been introduced for the treatment of some orthopedic diseases. The aim of this study was to assess the efficacy of ESWT on chronic calcifying tendinitis of the shoulder through a prospective study. We studied 30 patients (mean age, 56.6 years) with chronic calcifying tendinitis of the shoulder. The patients were treated for a mean of 6 sessions, with 1400 impulses for each session. We used the new device Electro Medical Systems-Swiss Dolorclast (Electro Medical Systems, Nyon, Switzerland), which emits radial expanded shock waves, pneumatically generated. Patients were evaluated before treatment and after a mean of 10 weeks on a patient-oriented questionnaire (Dawson shoulder questionnaire, validated Italian version) and by radiological and ultrasound examinations. Radiographic disintegration and partial resorption of the calcium deposit were respectively recorded in 50% and 30% of cases, and the ultra-sound image showed modification of echogenicity in all cases. Clinically a good response to pain and to joint movement was recorded; the questionnaire also showed a statistically significant improvement. Shock wave therapy for calcifying tendinitis of the shoulder is effective from the patient's perspective and according to imaging outcomes. It could be considered an effective therapy for chronic calcifying tendinitis of the shoulder.
机译：在过去的几年中，已经引入了体外冲击波疗法（ESWT）来治疗某些骨科疾病。这项研究的目的是通过一项前瞻性研究评估ESWT对肩部慢性钙化性肌腱炎的疗效。我们研究了30例肩膀慢性钙化性肌腱炎患者（平均年龄56.6岁）。患者平均接受了6次治疗，每次治疗1400次脉冲。我们使用了新设备Electro Medical Systems-Swiss Dolorclast（瑞士Nyon，Electro Medical Systems），该设备会发出径向扩展的冲击波，并通过气动产生。在治疗前和平均10周后，以患者为导向的问卷（Dawson肩式问卷，经过验证的意大利语版本）以及放射学和超声检查对患者进行评估。 50％和30％的病例分别记录了钙沉积物的放射线崩解和部分吸收，并且超声图像显示在所有情况下回声的改变。临床上记录到对疼痛和关节运动的良好反应;问卷还显示出统计学上的显着改善。从患者的角度和根据影像学结果来看，冲击波治疗钙化肩腱炎是有效的。它可以被认为是治疗肩膀慢性钙化性肌腱炎的有效方法。

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