Extracorporeal Shockwave in Combination with Arthroscopic Surgery for Calcified Supraspinatus Tendinitis

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Original Article | Vol 3 | Issue 2 |  July-December 2023 | page: 52-56 | Jin Li, Jie Li, Xi Jin, Sheng Liu, Shaohong Zhao, Liheng Zhang

DOI: https://doi.org/10.13107/jrs.2023.v03.i02.105

Author: Jin Li [1, 2], Jie Li [1], Xi Jin [2], Sheng Liu [2], Shaohong Zhao [2], Liheng Zhang [1]

[1] Department of Sports Medicine and Joint Surgery, Jilin Province People’s Hospital, , Changchun, China,
[2] Graduate Union of Changchun University of Chinese Medicine, Changchun, China.

Address of Correspondence

Dr. Liheng Zhang,
Department of Sports Medicine and Joint Surgery, Jilin Province People’s Hospital, Changchun, China.
E-mail: 1987174487@qq.com

Abstract

Objective: Exploring the therapeutic effect of extracorporeal shockwave combined with Arthroscopic Surgery on calcified supraspinatus tendinitis.
Materials and Methods: Sixty patients with calcific supraspinatus tendinitis who received treatment in our hospital from June 2022 to June 2023 were randomly divided into two groups. All patients had disease lasting more than 6 months. The control group received extracorporeal shockwave therapy (ESWT), while the observation group, after undergoing arthroscopic debridement of calcific deposits in the joint, began receiving the same ESWT as the control group after 2 weeks. The differences in Visual Analog Scale (VAS) score, University of California at Los Angeles (UCLA) score, and Constant–Murley score between the two groups before and after treatment were recorded and compared.
Results: Before treatment, there was no significant difference in VAS score, UCLA score, and Constant–Murley Scale (CMS) score between the two groups of patients (P > 0.05); compared with before treatment, both groups of patients showed a significant decrease in VAS scores after 1 and 2 months of treatment (P < 0.05). After 1 and 2 months of treatment, the VAS scores of the observation group were significantly lower than the ones of the control group (P < 0.05). Compared with before treatment, the UCLA score and CMS score of both groups of patients significantly increased after 1 and 2 months of treatment (P < 0.05). After 1 and 2 months of treatment, the UCLA score and CMS score of the observation group were significantly higher than those of the control group (P < 0.05).
Conclusion: The combination of extracorporeal shockwave and arthroscopy has a significant therapeutic effect on calcified supraspinatus tendinitis, helping to improve shoulder joint function and effectively alleviate pain in patients.

Keywords: Extracorporeal shockwave, Arthroscopy, Calcifying supraspinatus tendinitis, Shoulder joint function, Pain.

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How to Cite this article: Li J, Li J, Jin X, Liu S, Zhao S, Zhang L | Extracorporeal Shockwave in Combination with Arthroscopy for Calcified Supraspinatus Tendonitis | Journal of Regenerative Science | Jul-Dec 2023; 3(2): 52-56.

 

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Extracorporeal Shock Wave Treatment for Calcifying Tendinitis of the Shoulder: A case report and literature review

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Original Article | Vol 3 | Issue 2 |  July-December 2023 | page: 57-61 | Dehui Song, Chengxin Li, Wei Sun, Yu Zhou, Fuqiang Gao, Li Zirong

DOI: https://doi.org/10.13107/jrs.2023.v03.i02.107

Author: Dehui Song [1], Chengxin Li [2], Wei Sun [3, 4], Yu Zhou [1], Fuqiang Gao [3], Li Zirong [1]

[1] Peking University Health Science Center, China-Japan Friendship School of Clinical Medicine, Beijing, China,
[2] Department of Orthopedic, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China,
[3] Department of Orthopedics, Shockwave Center, China-Japan Friendship Hospital, Beijing, China,
[4] Department of Orthopedic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Address of Correspondence

Dr. Wei Sun,
Department of Orthopedics, Shockwave Center, China-Japan Friendship Hospital, Beijing, China/Department of Orthopedic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
E-mail: wei.sun@pennmedicine.upenn.edu

Abstract

Background: Calcifying tendinitis of the shoulder (CTS), also known as rotator cuff calcific tendinitis, is a self-limiting shoulder disorder primarily characterized by inflammation surrounding hydroxyapatite crystal deposits in the tendons of the rotator cuff. Given the specific characteristics of the shoulder joint and the uncertainty regarding the efficacy of various treatments for CTS, no standardized treatment protocol has been established. However, numerous studies have demonstrated that extracorporeal shock wave therapy (ESWT) is effective in alleviating pain and improving joint function in patients with calcifying tendinitis of the shoulder. The therapeutic process works using high-energy shock waves to break down deposits of calcification, reduce local inflammation, and promote tissue healing. The purpose of this article is to present a case of symptomatic calcifying tendinopathy involving the rotator cuff and further demonstrate that ESWT has good efficacy in the treatment of musculoskeletal diseases.
Results: In this case, a 39-year-old woman with a 6-month history of shoulder pain and limited range of motion (ROM) was diagnosed with calcifying tendinitis of the shoulder. A single session of shock wave therapy resulted in the complete resolution of calcific deposits and the patient’s symptoms, leading to a return to her normal ROM and improved quality of life.
Conclusion: ESWT has been shown to be a good alternative to surgery for the treatment of calcifying tendinitis of the shoulder (CTS). It can significantly alleviate pain, improve shoulder function, and reduce the average size of calcium deposits. It might be the first choice for treating shoulder tendinopathy due to its effectiveness and safety.
Keywords: Calcifying tendinitis, Shoulder pain, Extracorporeal shock wave treatment, Case report

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16. Abo Al-Khair MA, El Khouly RM, Khodair SA, Al Sattar Elsergany MA, Hussein MI, Eldin Mowafy ME. Focused, radial and combined shock wave therapy in treatment of calcific shoulder tendinopathy. Phys Sportsmed 2021;49:480-7.
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How to Cite this article: Song D, Li C, Sun W, Zhou Y, Gao F, Zirong L | Extracorporeal Shock Wave Treatment for Calcifying Tendinitis of the Shoulder: A case report and literature review. | Journal of Regenerative Science | Jul-Dec 2023; 3(2): 57-61.

 

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Comparison of Radial Pressure Waves and Focused Extracorporeal Shock Waves in Treatment of Osteoarthritis of the Knee

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Original Article | Vol 3 | Issue 2 |  July-December 2023 | page: 62-66 | Xichun Sun, Suoli Cheng, Xianghua Xiong, Zhengcheng Wang

DOI: https://doi.org/10.13107/jrs.2023.v03.i02.109

Author: Xichun Sun [1], Suoli Cheng [1], Xianghua Xiong [2], Zhengcheng Wang [1]

[1] Department of Orthopedics, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, Ningxia, China,
[2] Department of Orthopedics, People’s Hospital of Liangping District, Chongqing, China.

Address of Correspondence

Dr. Suoli Cheng,
Department of Orthopedics, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, Ningxia, China.
E-mail: chengsuoli@126.com

Abstract

Objective: The aim of this study is to investigate and compare the clinical efficacy of radial pressure waves and focused external shock wave therapy for knee osteoarthritis (KOA).
Materials and Methods: From October 2020, 90 patients aged 45–65 years old with Kellgren and Lawrence classification (K-L) stage I and II of KOA were selected in our hospital or randomly assigned to 3 groups with 30 cases in each group. One group was treated with antiinflamatory medication. The other two groups received one course of treatment (once a week, 4 times in total) performed by using radial focused shock
waves respectively, and follow-up was conducted by telephone and outpatient review 3, 6, and 9 months after the treatment. Visual Analog Scale (VAS) and Western Ontario McMaster Osteoarthritis Index (WOMAC) osteoarthritis score were used before and after treatment.
Results: (1) VAS, WOMAC, and evaluation indexes of both treated groups were better than those of the control group (oral drug group); (3) The score of the radial group was significantly different from that of the focused group (P > 0.05).
Conclusion: (1) Focused and radial pressure waves (RPW) have good clinical therapeutic effect on early KOA (2) Comparison of long-term effect: focused shock waves are more significant than radial (3) Radial pressure waves area good indication in relatively young patients, short course of disease (within 1 year), and K-L stage I an II. (4) In older patients, with more than a year of symptoms and K-L stages II and III, focal waves are more effective than radial waves. (5) Patients with acute onset and night pain or accompanied by obvious effusion can first take nonsteroidal
drugs orally continuously for a week, and the treatment effect is better. During treatment, the drugs can be continued or stopped according to the specific conditions. When synovial edema and effusion of the joint decreased, the conventional parameters were used for treatment.
Keywords: Knee osteoarthritis, Extracorporeal shock wave therapy, Radial Pressure Waves

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How to Cite this article: Sun X, Cheng S, Xiong X, Wang Z | Comparison of Radial Pressure Waves and Focused Extracorporeal Shock Waves in Treatment of Osteoarthritis of the Knee. | Journal of Regenerative Science | Jul-Dec 2023; 3(2): 62-66.

 

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Clinical Study on the Treatment of Long Bone Fracture Non-union with Extracorporeal Shock Wave Therapy Combined with Platelet-rich Plasma

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Original Article | Vol 3 | Issue 2 | July-December 2023 | page: 67-72 | RongDa Xu, JiaHui Li, ZhenCun Cai, Zhi Li, ZhiHao Liang, YuanLong Li, Lin Shen, HongLiang Tu, HongYu Zhou, Han Sun, Pei Li

DOI: https://doi.org/10.13107/jrs.2023.v03.i02.111

Author: RongDa Xu [1], JiaHui Li [1], ZhenCun Cai [1], Zhi Li [2], ZhiHao Liang [2], YuanLong Li [3], Lin Shen [4], HongLiang Tu [5], HongYu Zhou [6], Han Sun [7], Pei Li [1]

[1] Department of Orthopedics Surgery, Central Hospital Affiliated to Shenyang Medical College, Shenyang, China,
[2] Department of Orthopedics Surgery, Centro Hospitalar Conde de São Januário, Rua do Almirante Costa Cabral, Macau, China,
[3] Department of Orthopedics Surgery, Guangdong General Hospital, Yuexiu District, Guangzhou, China,
[4] Department of Hand Surgery, Central Hospital Affiliated to Shenyang Medical College, Shenyang, China,
[5] Department of Orthopedics Surgery, 242 Hospital Affiliated to Shenyang Medical College, Huanggu District, China,
[6] Department of Orthopedics Surgery, Shenyang Orthopedic Hospital, Dadong District, Shenyang, China,
[7] Department of Orthopedics Surgery, Liaoyang County Central Hospital, Liaoyang, China.

Address of Correspondence

Dr. Pei Li,
Department of Orthopedics Surgery, Central Hospital Affiliated to Shenyang Medical College, Shenyang, China.
E-mail: peili4421@gmail.com

Abstract

Objective: The objective of the study was to evaluate of the therapeutic efficacy of extracorporeal shock wave therapy (ESWT) combined with platelet-rich plasma (PRP) injection in patients with long bone fracture non-union.
Material and Methods: A total of 36 patients identified with long bone fracture non-union treated from September 2020 to September 2023 were enrolled into this study. Employing a random number table method, they were randomly divided into three groups, with 12 cases in each group. Based on the treatment modality, the groups were categorized as the ESWT group, PRP group, and combination ESWT + PRP group. Routine radiographs and musculoskeletal ultrasound were obtained before treatment and at 3-, 6-, and 9-month post-treatment intervals to observe for bone callus formation and assess fracture line imaging scores with the aim to evaluate the treatment efficacy of each group.
Results: With the extension of treatment time, the bone callus and fracture line imaging scores of the three groups gradually increased (P < 0.05). At 3-, 6-, and 9-month post-treatment, the scores of the ESWT combined with the PRP group were significantly better than those of the singular ESWT group and PRP group, and the differences were statistically significant (P < 0.05).
Conclusion: Therapy with singular ESWT, singular PRP, and combination ESWT + PRP has demonstrated effective improvement in fracture healing for patients with long bone fracture non-union. The synergistic effects of combination therapy were more significant, surpassing the efficacy of singular ESWT or PRP applications. The combined use of ESWT and PRP represents a safe and promising alternative treatment for long-bone fracture non-union, making it a compelling choice in the context of fracture healing.
Keywords: Extracorporeal shock wave therapy, Platelet-rich plasma, Non-union of fracture.

References:

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How to Cite this article: Xu R, Li J, Cai Z, Li Z, Liang Z, Li Y, Shen L, Tu H, Zhou H, Sun H, Li P | Clinical Study on the Treatment of Long Bone Fracture Non-union with Extracorporeal Shock Wave Therapy Combined with Platelet-rich Plasma. | Journal of Regenerative Science | Jul-Dec 2023; 3(2): 67-72.

 

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Static Plantar Pressure Distribution and Position Correlations in Early and Mid-term Knee Osteoarthritis Patients

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Original Article | Vol 3 | Issue 2 | July-December 2023 | page: 73-80 | Wan Yiqun, Gao Weiyu, Wang Lixin, Wang Ruiyue, Yang Zhikai, Wang Xin

DOI: https://doi.org/10.13107/jrs.2023.v03.i02.113

Author: Wan Yiqun [1], Gao Weiyu [2], Wang Lixin [1], Wang Ruiyue [3], Yang Zhikai [4], Wang Xin [1]

[1] Department of Orthopaedic Medicine, Institute of Orthopedics, Fourth Medical Center of PLA General Hospital, Beijing, China,
[2] Geriatrics Center, The People’s Hospital of Inner Mongolia Autonomous Region, Hohhot, China,
[3] College of Nursing and Rehabilitation, North China University of Science and Technology, Qinhuangdao, China,
[4] Department of Rehabilitation, Capital Medical University Electric Teaching Hospital/State Gird Beijing Electric Power Hospital, Beijing, China.

Address of Correspondence

Dr. Wang Xin,
Department of Orthopaedic Medicine, Institute of Orthopedics, Fourth Medical Center of PLA General Hospital, Beijing, China.
E-mail: wangx126@126.com

Abstract

Background: Knee osteoarthritis (KOA) is the most common degenerative joint disease, and patients will develop abnormalities in the movement model. Plantar pressure distribution and body postural characteristics may differ in patients with KOA compared to healthy adults and may affect physical function in these patients. At present, most related studies focus on patients with advanced KOA, and there are few studies on patients in early and middle stages. This study aims to apply the plantar pressure detection and human joint point identification technology to explore the characteristics of body posture and plantar pressure distribution in the early and middle-term KOA patients.
Materials and Methods: Data from 38 middle and early KOA patients (age =54.58 ± 7.32 years) and 28 healthy volunteers (age =54.93 ± 7.90 years including), lower limb weight bearing, peak foot pressure distribution, pressure center (center of pressure [CoP]) offset, offset area, Q angle, pelvic position, spine offset, and other data were compared by statistical analysis of independent sample t-test and Pearson’s Chi-square test.
Result: The results showed that the foot pressure in the early and mid-term KOA patients tended to be distributed in the medial heel, and the body CoP swing range was smaller than that in the control group (P < 0.05). In addition, patients in the KOA group had a larger left Q angle than the control group and had a smaller rate of right pelvis bias (P < 0.05). There was no statistical difference in lower limb weight bearing and spinal posture between the two groups.
Conclusion: In standing conditions, patients in the KOA group have exhibited abnormal postural patterns and foot pressure distribution in the early and middle stages compared with healthy volunteers. Assessment of plantar pressure distribution, pelvic position, and positioning of lower limb joints may be important for evaluating patients with KOA.

Keywords: Knee osteoarthritis, Plantar pressure, Posture

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How to Cite this article: Yiqun W, Weiyu G, Lixin W, Ruiyue W, Zhikai Y, Xin W | Static Plantar Pressure Distribution and Position Correlations in Early and Mid-term Osteoarthritis Patients | Journal of Regenerative Science | Jul-Dec 2023; 3(02): 73-80.

 

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Cardiac Shock Wave Therapy in Cardiovascular Diseases

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Review Article | Vol 3 | Issue 2 | July-December 2023 | page: 81-86 | Na Chen, Hanhua Ji

DOI: https://doi.org/10.13107/jrs.2023.v03.i02.115

Author: Na Chen [1], Hanhua Ji [2]

[1] Department of Internal Medicine, Peking University Hospital, Beijing 100871, China.
[2] Department of Cardiovascular Medicine, Peking University Civil Aviation General Hospital, Beijing 100123, China.

Address of Correspondence

Dr. Na Chen,
Department of Internal Medicine, Peking University Hospital, Beijing 100871, China.
E-mail: 18901267905@163.com

Abstract

Cardiovascular disease is one of the leading causes of death worldwide, placing a huge burden on patients and healthcare systems. Cardiac shock wave (CSW) technology is a non-invasive treatment method. In recent years, some scholars have discovered that extracorporeal shock wave can improve cardiovascular ischemic lesions. This article reviews the latest progress in basic research and clinical application of cardiac shock wave technology in cardiovascular medicine and reviews its efficacy and potential mechanisms in different diseases. First, the principle of shock waves and their application potential in cardiovascular medicine are introduced. Then, from the aspects of basic research and clinical application, the mechanism and clinical efficacy of shock waves in cardiovascular diseases such as coronary heart disease, myocardial ischemia-reperfusion injury, atrial fibrillation, atherosclerosis, and coronary artery calcification are discussed, as well as its advantages and limitations. Animal experiments and clinical studies have found that low-energy extracorporeal shock waves can upregulate the expression of vascular endothelial
growth factors, promote angiogenesis, promote nitric oxide production, increase local blood perfusion, significantly reduce angina symptoms, and improve left ventricular function and remodeling. Finally, the future development trend of shock wave technology is prospected. This review provides an introduction to the properties, biomechanical effects, treatment mechanisms of cardiovascular diseases, research status and development prospects of extracorporeal shock waves.
Keywords: Cardiac shock Wave Therapy, Cardiovascular diseases, ESWT

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How to Cite this article: Chen N, Ji H Cardiac Shock Wave | Therapy in cardiovascular diseases | Journal of Regenerative Science | Jul-Dec 2023; 3(2): 81-86.

 

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