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

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