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[Shock waves in orthopedics]

¹Urologische Klinik, Ruhr-Universität Bochum.

Der Urologe. Ausg. A

|May 1, 1997

Summary

This summary is machine-generated.

Extracorporeal shock wave therapy (ESWT) is effective for treating bone and soft tissue conditions in orthopedics, offering a non-invasive alternative to surgery. While mechanisms require further study, ESWT shows promise for conditions like pseudarthrosis and tendonitis.

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Area of Science:

Orthopedic medicine
Biophysics
Regenerative medicine

Context:

Extracorporeal shock wave therapy (ESWT) has transformed urological stone treatment.
ESWT is increasingly adopted in orthopedic applications for bone and soft tissue pathologies.
This review explores the therapeutic potential and current evidence for ESWT in orthopedics.

Purpose:

To review the established and emerging applications of ESWT in orthopedics.
To discuss the osteoneogenetic effects and clinical outcomes of ESWT for conditions like pseudarthrosis.
To evaluate ESWT's efficacy in treating soft tissue disorders such as tennis elbow, golfer's elbow, calcaneal spur, and shoulder periarthritis.

Summary:

ESWT demonstrates a proven osteoneogenetic effect, achieving approximately 75% success in treating pseudarthrosis.

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Positive outcomes are reported for various orthopedic conditions, including tendinopathies and heel spurs.

While the precise mechanisms of action are under investigation and large-scale randomized studies are pending, ESWT offers a viable alternative to surgery for refractory cases.

Impact:

ESWT provides a less invasive treatment option compared to surgery for specific orthopedic conditions.
The success rates of ESWT are comparable to surgical interventions, with surgery remaining an option if ESWT fails.
ESWT is poised to significantly impact orthopedic practice, mirroring its revolutionary effect in urology, though challenges in scientific validation and reimbursement persist.