Proposal of a standardized positioning for rotator cuff treatment with shock waves and radial pressure waves: An anatomo-imaging correlation
Original Article | Vol 5 | Issue 1 | January-June 2025 | page: 19-22 | María Laura Tutté, Marcela Cedrés, Gabriela Stadler, Daniel Moya
DOI: https://doi.org/10.13107/jrs.2025.v05.i01.163
Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2025; The Author(s).
Submitted Date: 2025, Review Date: 2025, Accepted Date: 2025 & Published: 30 Jun 2025
Author: María Laura Tutté [1], Marcela Cedrés [2], Gabriela Stadler [1], Daniel Moya [3]
[1] Department of Rehabilitation and Physical Medicine, State Insurance Bank Hospital Montevideo, Uruguay,
[2] Department of Imagenology, State Insurance Bank Hospital, Montevideo, Uruguay,
[3] Department of Orthopaedic Surgery, Buenos Aires British Hospital, Argentina.
Address of Correspondence
Dr. María Laura Tutté,
Department of Rehabilitation and Physical Medicine, State Insurance Bank Hospital Montevideo, Uruguay.
E-mail: dra.tutte@gmail.com
Abstract
One of the keys to successful treatment with radial pressure waves and focused shock waves is being able to deliver the energy to the right area. The shoulder region is characterized by a complex architecture with overlapping structures, which can make it difficult to locate the area to be treated.
The aim of this study is to describe the best upper limb positions and standardized approaches to treat rotator cuff pathology, based on the correlation of radiological and ultrasound images obtained during a joint examination by an imaging expert and a shock wave specialist.
Keywords: Extracorporeal shock wave therapy, Radial pressure waves, Arm positioning, Shoulder ultrasound
References:
1. Moya D, Ramón S, Schaden W, Wang CJ, Guiloff L, Cheng JH. The role of extracorporeal shockwave treatment in musculoskeletal disorders. J Bone Joint Surg Am 2018;100:251-63.
2. Moya D, Ramón S, Guiloff L, Gerdesmeyer L. Current knowledge on evidence-based shockwave treatments for shoulder pathology. Int J Surg 2015;24(Pt B):171-8.
3. Moya D, Rashid M, Rowinski S, Al-Qahtani S, Bernáldez Domínguez P, Gómez D, et al. Therapeutic options in rotator cuff calcific tendinopathy. SICOT J 2025;11:9.
4. Dahmen G, Franke R, Gonchars V. Treatment of soft tissue pain near bone with extracorporeal shock wave therapy (ESWT): Indication, technique and previous results. In: Chaussy C, Eisenberger F, Jocham D, Wilbert D, editors. Die Stosswelle: Forschung und Klinik. Tübingen, Germany: Attempto-Verlag; 1995. p. 175-86.
5. Buch M, Hahne H, Klatt J. Results of shock wave therapy for calcific tendinosis of the shoulder from the Orthopaedic Clinic Kassel: Prospective comparison of low-energy and high-energy shock wave therapy and needling for calcific tendinosis of the shoulder. Orthop Praxis 1999;35:143-9.
6. Tornese D, Mattei E, Bandi M, Zerbi A, Quaglia A, Melegati G. Arm position during extracorporeal shock wave therapy for calcifying tendinitis of the shoulder: A randomised study. Clin Rehabil 2011;25:731-9.
7. Sabeti M, Dorotka R, Goll A, Gruber M, Schatz KD. A comparison of two different treatments with navigated extracorporeal shock-wave therapy for calcifying tendinitis – a randomized controlled trial. Wien Klin Wochenschr 2007;119:124-8.
8. Haake M, Deike B, Thon A, Schmitt J. Exact focusing of extracorporeal shockwave therapy for calcifying tendinopathy. Clin Orthop Relat Res 2002;397:323-31.
9. Loew M, Jurgowski W, Mau HC, Thomsen M. Treatment of calcifying tendinitis of rotator cuff by extracorporeal shock waves: A preliminary report. J Shoulder Elbow Surg 1995;4:101-6.
10. Charrin JE, Noel ER. Shockwave therapy under ultrasonographic guidance in rotator cuff calcific tendinitis. Jt Bone Spine 2011;68:241-4.
11. Brañes J, Contreras H, Cabello P, Antonic V, Guiloff L, Brañes M. Shoulder rotator cuff responses to extracorporeal shockwave therapy: Morphological and immunohistochemical analysis. Shoulder Elbow 2012;4:163-8.
12. Pan PJ, Chou CL, Chiou HJ, Ma HL, Lee HC, Chan RC. Extracorporeal shock wave therapy for chronic calcific tendinitis of the shoulder: A functional and sonographic study. Arch Phys Med Rehabil 2003;84:988-93.
13. Cosentino R, De Stefano R, Selvi E, Frati E, Manca S, Frediani B, et al. Extracorporeal shock wave therapy for chronic calcific tendinitis of the shoulder: Single blind study. Ann Rheum Dis 2003;62:248-50.
14. Rebuzzi E, Coletti N, Schiavetti S, Giusto F. Arthroscopy surgery versus shock wave therapy for chronic calcifying tendinitis of the shoulder. J Orthop Traumatol 2008;9:179-85.
15. Sabeti-Aschraf M, Dorotka R, Gol Al, Trieb K. Extracorporeal shock wave therapy in the treatment of calcific tendinitis of the rotator cuff. Am J Sports 2005;33:1365-8.
16. Li Q, Chen R, Yu Y, Wang X, Feng X, Jiang L, et al. Extracorporeal shockwave therapy combined with multiple drilling and intramedullary drug injection for treating early-stage Femur Head Necrosis: Protocol for a randomized controlled trial. Medicine (Baltimore) 2020;99:e22598.
17. Moya D, Gómez D, Velóz Serrano D, Bernáldez Domínguez P, Dallo Lazzarini I, Gómez G. Treatment protocol for rotator cuff calcific tendinitis using a single-crystal piezoelectric focused shock wave source. J Vis Exp 2022;190:1-14
How to Cite this article: Tutté ML, Cedrés M, Stadler G, Moya D | Proposal of a standardized positioning for rotator cuff treatment with shock waves and radial pressure waves: An anatomoimaging correlation. | Journal of Regenerative Science | Jan-Jun 2025; 5(1): 19-22.
|
Leave a Reply
Want to join the discussion?Feel free to contribute!