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DOI: 10.1055/s-0037-1618193
Die muskuloskelettale extrakorporale Stoßwellentherapie
Musculoskeletal extracoporeal shock wave therapyPublication History
Publication Date:
27 December 2017 (online)
Zusammenfassung
In den vergangenen 20 Jahren hat sich die extrakorporale Stoßwellentherapie (ESWT) nach intensiven weltweiten Forschungsanstrengungen zur Therapiemethode der ersten Wahl bei zahlreichen orthopädisch-unfallchirurgischen Erkrankungen entwickelt, einschließlich der plantaren Fasziitis, der lateralen Epikondylopathie, der Tendinosis calcarea der Schulter und der Pseudarthrose langer Röhrenknochen. Zuletzt hinzugekommen sind patellare Tendinopathie, Achillestendinopathie und avaskuläre Hüftkopfnekrose. Der Artikel beleuchtet den aktuellen Forschungsstand zur biologischen Wirkweise extrakorporaler Stoßwellen im Allgemeinen, und die klinische Anwendung bei der Plantarfasziitis im Besonderen.
Summary
Shock wave application in urology (lithotripsy) was primarily used to disintegrate kidney stones, whereas shock wave therapy in orthopedics is not used to disintegrate tissues, rather to induce tissue repair and regeneration. The application of extracorporeal shock wave therapy (ESWT) in musculoskeletal disorders has been around for more than two decades and is primarily used in the treatment of sports-related over-use tendinopathies such as proximal plantar fasciitis of the heel, lateral epicondylitis of the elbow, calcific or non-calcific tendonitis of the shoulder and Achilles tendinopathy. The vast majority of the published papers showed positive and beneficial effects, with success rates ranging from 65 % to 91 %, and complications low and negligible. FDA first approved ESWT for the treatment of proximal plantar fasciitis in 2000 and lateral epicondylitis in 2002. ESWT is a novel non-invasive therapeutic modality without surgery or surgical risks, and the clinical application of ESWT steadily increases over the years. This article reviews the current status of ESWT in musculoskeletal disorders.
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