Regeneration of the Patellar Tendon with Radial Pressure Waves in a Sharp Injury: A Case Report
Case Report | Vol 4 | Issue 1 | January-June 2024 | page: 20-23 | A A Flores Salinas, G C Reyes Cordero, L B García Rodriguez, L C Villa Olivares
DOI: https://doi.org/10.13107/jrs.2024.v04.i01.127
Author: A A Flores Salinas [1], G C Reyes Cordero [2], L B García Rodriguez [3], L C Villa Olivares [4]
[1] Department of Rehabilitation Medicine, Medical Director of Physis Clinics, Chihuahua, Mexico,
[2] Department of Rheumatology, Hospital Ángeles, Chihuahua, Mexico,
[3] Department of Orthopedics and Traumatology, Hospital Central Universitario, Chihuahua, Mexico,
[4] Department of Radiology, Civil Pensions of the State of Chihuahua, Mexico.
Address of Correspondence
Dr. A A Flores Salinas,
Department of Rehabilitation Medicine, Medical Director of Physis Clinics, Chihuahua, Mexico.
Email- drazaelflores@hotmail.com
Abstract
Patellar tendon ruptures are rare injuries and are more commonly associated with predisposing factors and previous surgical procedures than with direct trauma. Acute partial-thickness tears are usually treated with immobilization and rehabilitation. The literature recommends surgical management of partial ruptures of the patellar tendon after 6 months of failure of conservative treatments and in acute cases with a compromise >50–55% of the tendon. Radial pressure wave therapy is a safe, non-invasive technique with scientific support in tissue regeneration; it is found as one of the therapeutic alternatives for the management of tendinopathy and partial ruptures of the patellar tendon. The present case report shows the effectiveness of radial pressure wave therapy in a shear injury of the patellar tendon, with a compromise of at least 70%. We have not found similar cases previously reported in the literature, highlighting its relevance.
Keywords: Patellar tendon, Radial pressure waves, Patellar tendon rupture, Cutting injury
References:
1. Matava MJ. Patellar tendon ruptures. J Am Acad Orthop Surg 1996;4:287-96.
2. Pires R, Prado J, Hara R, Ferreira E, Schiavo L, Giordano V, et al. Epidemiological study on tendon ruptures of the knee extensor mechanism at a level 1 hospital. Rev Bras Ortop 2015;47:719-23.
3. Stinner D, Orr JD, Hsu JR. Fluoroquinolone-associated bilateral patellar tendon rupture: A case report and review of the literature. Mil Med 2010;175:457-9. Pages 457–459, https://doi.org/10.7205/MILMED-D-09-00142
4. van der Linden PD, Sturkenboom MC, Herings RM, Leufkens HG, Stricker BH. Fluoroquinolones and risk of Achilles tendon disorders: case-control study. BMJ. 2002 Jun 1;324(7349):1306-7. doi: 10.1136/bmj.324.7349.1306. PMID: 12039823; PMCID: PMC113766.
5. Yang F, Wang GD, Huang R, Ma H, Zhao XW. Ligament augmentation reconstruction system artificial ligaments in patellar tendon reconstruction – a chronic patellar tendon rupture after multiple operations: A case report. World J Clin Cases. 2020 Feb 26;8(4):831-837. doi: 10.12998/wjcc.v8.i4.831. PMID: 32149068; PMCID: PMC7052563.
6. Brinkman JC, Reeson E, Chhabra A. Acute Patellar Tendon Ruptures: An Update on Management. J Am Acad Orthop Surg Glob Res Rev. 2024 Apr 3;8(4):e24.00060. doi: 10.5435/JAAOSGlobal-D-24-00060. PMID: 38569093; PMCID: PMC10994452.
7. Zhang J, Keenan C, Wang JH. The effects of dexamethasone on human patellar tendon stem cells: implications for dexamethasone treatment of tendon injury. J Orthop Res. 2013 Jan;31(1):105-10. doi: 10.1002/jor.22193. Epub 2012 Aug 8. PMID: 22886634; PMCID: PMC3498577.
8. Pritchard CH, Berney S. Patellar tendon rupture in systemic lupus erythematosus. J Rheumatol 1989;16:786-8.
9. Golman M, Wright ML, Wong TT, Lynch TS, Ahmad CS, Thomopoulos S, Popkin CA. Rethinking Patellar Tendinopathy and Partial Patellar Tendon Tears: A Novel Classification System. Am J Sports Med. 2020 Feb;48(2):359-369. doi: 10.1177/0363546519894333. Epub 2020 Jan 8. PMID: 31913662.
10. Swamy GN, Nanjayan SK, Yallappa S, Bishnoi A, Pickering SA. Is ultrasound diagnosis reliable in acute extensor tendon injuries of the knee? Acta Orthop Belg 2012;78:764-70.
11. Karlsson J, Kälebo P, Goksör LA, Thomée R, Swärd L. Partial rupture of the patellar ligament. Am J Sports Med 1992;20:390-5.
12. Moya D, Loske AM, Hobrough P, Moya C. History of Shock Waves and Radial Pressure Waves From Newton to Our Times. Journal of Regenerative Science. Jan-Jun 2023; 3(1): 09-14. DOI:10.13107/jrs.2023.v03.i01.70
13. 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 Feb 7;100(3):251-263. doi: 10.2106/JBJS.17.00661. PMID: 29406349.
14. Ramon S, Español A, Yebra M, Morillas JM, Unzurrunzaga R, Freitag K, et al. Current evidence in shockwave treatment. SETOC (Spanish Society of Shockwave Treatment) recommendations Rehabilitación (Madr) 2021;55:291-300. DOI: 10.1016/j.rh.2021.02.002
15. Cleveland RO, Chitnis PV, McClure SR. Acoustic field of a ballistic shock wave therapy device. Ultrasound Med Biol. 2007 Aug;33(8):1327-35. doi: 10.1016/j.ultrasmedbio.2007.02.014. Epub 2007 Apr 27. PMID: 17467154.
16. Loske AM. Medical and Biomedical Applications of Shock Waves. Cham, Switzerland: Springer International; 2017. p. 19-42.
17. Wang CJ. Extracorporeal shockwave therapy in musculoskeletal disorders. J Orthop Surg Res. 2012 Mar 20;7:11. doi: 10.1186/1749-799X-7-11. PMID: 22433113; PMCID: PMC3342893.
18. Moreno GM. Definition and classification of obesity. R Méd Clín Las Condes 2012;23:124-8.
19. Wright JG, Einhorn TA, Heckman JD. Grades of recommendation. J Bone Joint Surg Am. 2005 Sep;87(9):1909-10. doi: 10.2106/JBJS.8709.edit. PMID: 16140803.
20. van der Worp H, Zwerver J, Hamstra M, van den Akker-Scheek I, Diercks RL. No difference in effectiveness between focused and radial shockwave therapy for treating patellar tendinopathy: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc. 2014 Sep;22(9):2026-32. doi: 10.1007/s00167-013-2522-z. Epub 2013 May 12. PMID: 23666379.
21. Haupt G. Use of extracorporeal shock waves in the treatment of pseudarthrosis, tendinopathy and other orthopedic diseases. J Urol. 1997 Jul;158(1):4-11. doi: 10.1097/00005392-199707000-00003. PMID: 9186313.
22. Thijs KM, Zwerver J, Backx FJ, Steeneken V, Rayer S, Groenenboom P, Moen MH. Effectiveness of Shockwave Treatment Combined With Eccentric Training for Patellar Tendinopathy: A Double-Blinded Randomized Study. Clin J Sport Med. 2017 Mar;27(2):89-96. doi: 10.1097/JSM.0000000000000332. PMID: 27347857.
| How to Cite this article: Salinas AAF, Cordero GCR, Rodriguez LBG, and Olivares LCV. Regeneration of the Patellar Tendon with Radial Pressure Waves in a Sharp Injury: A Case Report. Journal of Regenerative Science 2024;January-June;4(1):20-23. |
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Use of Focused Shock Waves in an Acute Talar Head Fracture
Case Report | Vol 4 | Issue 1 | January-June 2024 | page: 24-26 | Osvaldo Valle
DOI: https://doi.org/10.13107/jrs.2024.v04.i01.129
Author: Osvaldo Valle [1]
[1] Department of Orthopedic Surgeon Surgery, Ankle and Foot Team, MEDS Clinic, Santiago de Chile; President of ACHITOC (Chilean Association of Tissue Engineering and Shock Waves).
Address of Correspondence
Dr. Osvaldo Valle,
Department of Orthopedic Surgeon, Ankle and Foot Team, MEDS Clinic, Santiago de Chile; President of ACHITOC (Chilean Association of Tissue Engineering and Shock Waves).
E-mail: tovato@gmail.com
Abstract
Talar fractures are rare and can be difficult to manage. Even in the absence of complications, the treatment of this type of injury can be prolonged and uncomfortable for the patient. Focused shock waves have been shown to be effective in the treatment of delayed unions and non-unions. In this case report, we share our experience with the use of focused shock waves in an acute talus fracture in a patient with risk factors for healing.
Keywords: Talus, Talar fractures, Shock waves, Bone marrow edema
References:
1. Caracchini G, Pietragalla M, De Renzis A, Galluzzo M, Carbone M, Zappia M, Russo A, Greco F, Miele V. Talar fractures: radiological and CT evaluation and classification systems. Acta Biomed. 2018 Jan 19;89(1-S):151-165. doi: 10.23750/abm.v89i1-S.7019. PMID: 29350644; PMCID: PMC6179081.
2. Anderson MR, Flemister AS, Ketz JP. Operative Treatment of Talar Head Fractures: Surgical Technique. J Orthop Trauma. 2018 Aug;32(8):e334-e338. doi: 10.1097/BOT.0000000000001178. Erratum in: J Orthop Trauma. 2019 Oct;33(10):e409. doi: 10.1097/BOT.0000000000001596. PMID: 29664882.
3. Pradhan A, Najefi A, Patel A, Vris A, Heidari N, Malagelada F, Parker L, Jeyaseelan L. Complications after talus fractures: A trauma centre experience. Injury. 2023 Feb;54(2):772-777. doi: 10.1016/j.injury.2022.12.013. Epub 2022 Dec 15. PMID: 36543737.
4. Schwartz AM, Runge WO, Hsu AR, Bariteau JT. Fractures of the Talus: Current Concepts. Foot Ankle Orthop. 2020 Feb 13;5(1):2473011419900766. doi: 10.1177/2473011419900766. PMID: 35097362; PMCID: PMC8697161.
5. 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 Feb 7;100(3):251-263. doi: 10.2106/JBJS.17.00661. PMID: 29406349.
6. Wang CJ, Liu HC, Fu TH. The effects of extracorporeal shockwave on acute high-energy long bone fractures of the lower extremity. Arch Orthop Trauma Surg. 2007 Feb;127(2):137-42. doi: 10.1007/s00402-006-0236-0. Epub 2006 Oct 13. PMID: 17053946.
7. Vallier HA. Fractures of the Talus: State of the Art. J Orthop Trauma. 2015 Sep;29(9):385-92. doi: 10.1097/BOT.0000000000000378. PMID: 26299809.
8. Higgins TF, Baumgaertner MR. Diagnosis and treatment of fractures of the talus: a comprehensive review of the literature. Foot Ankle Int. 1999 Sep;20(9):595-605. doi: 10.1177/107110079902000911. PMID: 10509689.
9. Jordan RK, Bafna KR, Liu J, Ebraheim NA. Complications of Talar Neck Fractures by Hawkins Classification: A Systematic Review. J Foot Ankle Surg. 2017 Jul-Aug;56(4):817-821. doi: 10.1053/j.jfas.2017.04.013. PMID: 28633784.
10. Ohl X, Harisboure A, Hemery X, Dehoux E. Long-term follow-up after surgical treatment of talar fractures: Twenty cases with an average follow-up of 7.5 years. Int Orthop. 2011 Jan;35(1):93-9. doi: 10.1007/s00264-009-0930-y. Epub 2009 Dec 22. PMID: 20033158; PMCID: PMC3014484.
11. Vallier HA, Nork SE, Barei DP, Benirschke SK, Sangeorzan BJ. Talar neck fractures: results and outcomes. J Bone Joint Surg Am. 2004 Aug;86(8):1616-24. PMID: 15292407.
12. Zura R, Mehta S, Della Rocca GJ, Steen RG. Biological Risk Factors for Nonunion of Bone Fracture. JBJS Rev. 2016 Jan 5;4(1):e5. doi: 10.2106/JBJS.RVW.O.00008. PMID: 27490008.
13. Rinonapoli G, Pace V, Ruggiero C, Ceccarini P, Bisaccia M, Meccariello L, Caraffa A. Obesity and Bone: A Complex Relationship. Int J Mol Sci. 2021 Dec 20;22(24):13662. doi: 10.3390/ijms222413662. PMID: 34948466; PMCID: PMC8706946.
14. Liu SH, Cerri-Droz P, Ling K, Loyst RA, Wang KE, Tsouris N, Komatsu DE, Wang ED. Chronic Steroid Use, Complications, and Readmission Following Open Reduction Internal Fixation of Distal Radius Fracture. J Hand Surg Glob Online. 2023 Aug 19;5(6):757-762. doi: 10.1016/j.jhsg.2023.07.007. PMID: 38106944; PMCID: PMC10721537.
15. Moonen L, Gorter E, Schipper I. The importance of vitamin D in treatment of fracture non-union: A case report. Nutrition. 2021 Jul-Aug;87-88:111192. doi: 10.1016/j.nut.2021.111192. Epub 2021 Feb 10. PMID: 33761443.
16. Lips P, van Schoor NM. The effect of vitamin D on bone and osteoporosis. Best Pract Res Clin Endocrinol Metab. 2011 Aug;25(4):585-91. doi: 10.1016/j.beem.2011.05.002. PMID: 21872800.
17. Wang CJ, Wang FS, Yang KD. Biological effects of extracorporeal shockwave in bone healing: a study in rabbits. Arch Orthop Trauma Surg. 2008 Aug;128(8):879-84. doi: 10.1007/s00402-008-0663-1. Epub 2008 Jun 17. PMID: 18560855.
| How to Cite this article: Valle O. Use of focused shock waves in an acute talar head fracture. Journal of Regenerative Science 2024;January-June;4(1):24-26.
|
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20 Years of Treatment of Bone Non-Unions and Delayed Unions with Shock Waves
??? | Vol 4 | Issue 1 | January-June 2024 | page: 27-30| Paulo F Kertzman
DOI: https://doi.org/10.13107/jrs.2024.v04.i01.131
Author: Paulo F Kertzman [1]
[1] Departamento de Ortopedia, Santa Casa de São Paulo, São Paulo, SP, Brazil.
Address of Correspondence
Dr. Paulo F Kertzman
Departamento de Ortopedia, Santa Casa de São Paulo, São Paulo, SP, Brazil.
E-mail: paulofkertzman@uol.com.br
Abstract
The treatment of bone non-unions continues to be complex and prolonged in many cases. The advent of the use of mechanical waves has made it possible, through the phenomenon of mechanotransduction, to have a non-invasive tool with a low rate of complications.
This study analyzes the experience of the last 20 years with the use of shock waves.
Keywords: Non-union, shock waves, Delayed union, Mechanotransduction
References:
1- Bell A, Templeman D, Weinlein JC. Nonunion of the femur and Tibia: An update. Orthop Clin North Am 2016;47:365-75.
2- Ekegren CL, Edwards ER, de Steiger R, Gabbe BJ. Incidence, Costs and Predictors of Non-Union, Delayed Union and Mal-Union Following Long Bone Fracture. Int J Environ Res Public Health. 2018 Dec 13;15(12):2845. doi: 10.3390/ijerph15122845. PMID: 30551632; PMCID: PMC6313538.
3- Rupp M, Biehl C, Budak M, Thormann U, Heiss C, Alt V. Diaphyseal long bone nonunions – Types, aetiology, economics, and treatment recommendations. Int Orthop 2017;42:247-58.
4- Schaden W, Mittermayr R, Haffner N, Smolen D, Gerdesmeyer L, Wang CJ. Extracorporeal shockwave therapy (ESWT)–First choice treatment of fracture non-unions? Int J Surg 2015;24:179-83.
5- Wang CJ, Chen HS, Chen CE, Yang KD. Treatment of nonunions of long bone fractures with shock waves. Clin Orthop Relat Res 2001;387:95-101.
6- Haupt G, Haupt A, Gerety B, Chvapil M. Enhancement of fracture healing with extracorporeal shock waves. J Urol 1990;158:4.
7- Valchanou VD, Michailov P. High energy shock waves in the treatment of delayed and nonunion of fractures. Int Orthop. 1991;15(3):181-4. doi: 10.1007/BF00192289. PMID: 1743828.
8- Main G, Haupt A, Ekkernkamp A, Gerety B, Chvapil M. Influence of shock waves on fracture healing. Urology 1992;39:529-32.
9- Kertzman P, Lenza M, Pedrinelli A, Ejnisman B. Shockwave treatment for musculoskeletal diseases and bone consolidation: Qualitative analysis of the literature. Rev Bras Ortop 2015;50:3-8.
10- Cheng JH, Wang CJ. Biological mechanism of shockwave in bone. Int J Surg. 2015 Dec;24(Pt B):143-6. doi: 10.1016/j.ijsu.2015.06.059. Epub 2015 Jun 25. PMID: 26118613.
11- Schnurrer-Luke-Vrbanić T, Avancini-Dobrović V, Sosa I, Cvijanovic O, Bobinac D. Effect of radial shock wave therapy on long bone fracture repair. J Biol Regul Homeost Agents. 2018 Jul-Aug;32(4):875-879. PMID: 30043570.
12- d’Agostino MC, Craig K, Tibalt E, Respizzi S. Shock wave as biological therapeutic tool: From mechanical stimulation to recovery and healing, through mechanotransduction. Int J Surg. 2015 Dec;24(Pt B):147-53. doi: 10.1016/j.ijsu.2015.11.030. Epub 2015 Nov 28. PMID: 26612525.
13- Wang CJ, Wang FS, Yang KD. Biological effects of extracorporeal shockwave in bone healing: a study in rabbits. Arch Orthop Trauma Surg. 2008 Aug;128(8):879-84. doi: 10.1007/s00402-008-0663-1. Epub 2008 Jun 17. PMID: 18560855.
14- Ha CH, Kim S, Chung J, An SH, Kwon K. Extracorporeal shock wave stimulates expression of the angiogenic genes via mechanosensory complex in endothelial cells: mimetic effect of fluid shear stress in endothelial cells. Int J Cardiol. 2013 Oct 9;168(4):4168-77. doi: 10.1016/j.ijcard.2013.07.112. Epub 2013 Aug 1. PMID: 23915523.
15- Xu JK, Chen HJ, Li XD, Huang ZL, Xu H, Yang HL, Hu J. Optimal intensity shock wave promotes the adhesion and migration of rat osteoblasts via integrin β1-mediated expression of phosphorylated focal adhesion kinase. J Biol Chem. 2012 Jul 27;287(31):26200-12. doi: 10.1074/jbc.M112.349811. Epub 2012 May 31. PMID: 22654119; PMCID: PMC3406705.
16- Sun D, Junger WG, Yuan C, Zhang W, Bao Y, Qin D, Wang C, Tan L, Qi B, Zhu D, Zhang X, Yu T. Shockwaves induce osteogenic differentiation of human mesenchymal stem cells through ATP release and activation of P2X7 receptors. Stem Cells. 2013 Jun;31(6):1170-80. doi: 10.1002/stem.1356. PMID: 23404811; PMCID: PMC4243484.
17- Wang FS, Wang CJ, Chen YJ, Chang PR, Huang YT, Sun YC, et al. Ras induction of superoxide activates ERK-dependent angiogenic transcription factor HIF-1alpha and VEGF-A expression in shock wave-stimulated osteoblasts. J Biol Chem 2004;279:10331-7.
18- Kusnierczak D, Brocai DR, Vettel U, Loew M. Der Einfluss der extrakorporalen Stosswellenapplikation (ESWA) auf das biologische Verhalten von Knochenzellen in vitro [Effect of extracorporeal shockwave administration on biological behavior of bone cells in vitro]. Z Orthop Ihre Grenzgeb. 2000 Jan-Feb;138(1):29-33. German. doi: 10.1055/s-2000-10109. PMID: 10730360.
19- Császár NB, Angstman NB, Milz S, Sprecher CM, Kobel P, Farhat M, Furia JP, Schmitz C. Radial Shock Wave Devices Generate Cavitation. PLoS One. 2015 Oct 28;10(10):e0140541. doi: 10.1371/journal.pone.0140541. PMID: 26509573; PMCID: PMC4625004.
20- Xu ZH, Jiang Q, Chen DY, Xiong J, Shi DQ, Yuan T, Zhu XL. Extracorporeal shock wave treatment in nonunions of long bone fractures. Int Orthop. 2009 Jun;33(3):789-93. doi: 10.1007/s00264-008-0553-8. Epub 2008 Apr 25. PMID: 18437381; PMCID: PMC2903117.
21- Bara T, Synder M. Nine-years experience with the use of shock waves for treatment of bone union disturbances. Ortop Traumatol Rehabil. 2007 May-Jun;9(3):254-8. English, Polish. PMID: 17721422.
22- Rompe JD, Rosendahl T, Schöllner C, Theis C. High-energy extracorporeal shock wave treatment of nonunions. Clin Orthop Relat Res. 2001 Jun;(387):102-11. doi: 10.1097/00003086-200106000-00014. PMID: 11400870.
23- Schaden W, Fischer A, Sailler A. Extracorporeal shock wave therapy of nonunion or delayed osseous union. Clin Orthop Relat Res 2001;387:90-4.
24- Vulpiani MC, Vetrano M, Conforti F, Minutolo L, Trischitta D, Furia JP, Ferretti A. Effects of extracorporeal shock wave therapy on fracture nonunions. Am J Orthop (Belle Mead NJ). 2012 Sep;41(9):E122-7. PMID: 23365814.
25- Kuo SJ, Su IC, Wang CJ, Ko JY. Extracorporeal shockwave therapy (ESWT) in the treatment of atrophic non-unions of femoral shaft fractures. Int J Surg. 2015 Dec;24(Pt B):131-4. doi: 10.1016/j.ijsu.2015.06.075. Epub 2015 Jul 9. PMID: 26166737.
26- 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 Feb 7;100(3):251-263. doi: 10.2106/JBJS.17.00661. PMID: 29406349.
27- Kertzman P, Császár NB, Furia JP, Schmitz C. Radial extracorporeal shock wave therapy is efficient and safe in the treatment of fracture nonunions of superficial bones: A retrospective case series. J Orthop Surg Res 2017;12:164.
28- Cacchio A, Giordano L, Colafarina O, Rompe JD, Tavernese E, Ioppolo F, et al. Extracorporeal shock-wave therapy compared with surgery for hypertrophic long-bone nonunions. J Bone Joint Surg Am 2009;91:2589-97.
29- Furia JP, Juliano PJ, Wade AM, Schaden W, Mittermayr R. Shock wave therapy compared with intramedullary screw fixation for nonunion of proximal fifth metatarsal metaphyseal-diaphyseal fractures. J Bone Joint Surg Am 2010;92:846-54.
30- Quadlbauer S, Pezzei C, Beer T, Jurkowitsch J, Keuchel T, Schlintner C, Schaden W, Hausner T, Leixnering M. Treatment of scaphoid waist nonunion by one, two headless compression screws or plate with or without additional extracorporeal shockwave therapy. Arch Orthop Trauma Surg. 2019 Feb;139(2):281-293. doi: 10.1007/s00402-018-3087-6. Epub 2018 Dec 6. PMID: 30523445.
31- Notarnicola A, Moretti L, Tafuri S, Gigliotti S, Russo S, Musci L, Moretti B. Extracorporeal shockwaves versus surgery in the treatment of pseudoarthrosis of the carpal scaphoid. Ultrasound Med Biol. 2010 Aug;36(8):1306-13. doi: 10.1016/j.ultrasmedbio.2010.05.004. PMID: 20691920.
32- Schmitz C, Császár NB, Milz S, Schieker M, Maffulli N, Rompe JD, Furia JP. Efficacy and safety of extracorporeal shock wave therapy for orthopedic conditions: a systematic review on studies listed in the PEDro database. Br Med Bull. 2015;116(1):115-38. doi: 10.1093/bmb/ldv047. Epub 2015 Nov 18. PMID: 26585999; PMCID: PMC4674007.
33- Birnbaum K, Wirtz DC, Siebert CH, Heller KD. Use of extracorporeal shock-wave therapy (ESWT) in the treatment of non-unions. A review of the literature. Arch Orthop Trauma Surg. 2002 Jul;122(6):324-30. doi: 10.1007/s00402-001-0365-4. Epub 2002 Mar 12. PMID: 12136295.
34- Petrisor B, Lisson S, Sprague S. Extracorporeal shockwave therapy: A systematic review of its use in fracture management. Indian J Orthop. 2009 Apr;43(2):161-7. doi: 10.4103/0019-5413.50851. PMID: 19838365; PMCID: PMC2762266.
35- Willems A, van der Jagt OP, Meuffels DE. Extracorporeal Shock Wave Treatment for Delayed Union and Nonunion Fractures: A Systematic Review. J Orthop Trauma. 2019 Feb;33(2):97-103. doi: 10.1097/BOT.0000000000001361. PMID: 30570614.
36- Schnurrer-Luke-Vrbanic T, Avancini-Dobrovic V, Sosa I, Cvijanovic O, Bobinac D. VEGF-A expression in soft tissues repaired by shockwave therapy: differences between modalities. J Biol Regul Homeost Agents. 2018 May-Jun;32(3):583-588. PMID: 29921384.
37- Gollwitzer H, Gloeck T, Roessner M, Langer R, Horn C, Gerdesmeyer L, et al. Radial extracorporeal shock wave therapy (rESWT) induces new bone formation in vivo: Results of an animal study in rabbits. Ultrasound Med Biol 2013;39:126-33.
38- Diaz-Rodriguez L, Garcia-Marinez O, Arroyo-Morales M, Ramos-Torrecillas J, De Luna-Bertos E, Ruiz C. Effect of radial extracorporeal shock wave therapy on proliferation, cell viability and phagocytosis of human osteoblasts (MG63). Adv Sci Lett 2012;17:325-9.
39- Silk ZM, Alhuwaila RS, Calder JD. Low-energy extracorporeal shock wave therapy to treat lesser metatarsal fracture nonunion: Case report. Foot Ankle Int 2012;33:1128-32.
40- Kertzman PF, Fucs PM. Does radial shock wave therapy works in pseudarthrosis? Prospective analysis of forty four patients. Int Orthop 2021;45:43-9.
| How to Cite this article: Kertzman PF. 20 Years of Treatment of Non-Unions and Delayed Unions with Shock Waves. Journal of Regenerative Science 2024;January-June;4(1):27-30.
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Extracorporeal Shock Wave Treatment and Multimodal Pain Management for Tarsal Tunnel Syndrome Associated with Plantar Fasciitis
Case Report | Vol 4 | Issue 1 | January-June 2024 | page: 31-34 | Ricardo Kobayashi
DOI: https://doi.org/10.13107/jrs.2024.v04.i01.133
Author: Ricardo Kobayashi [1]
[1] Department of Neurology, Pain Center, University of São Paulo, Brazil.
Address of Correspondence
Dr. Ricardo Kobayashi,
Department of Neurology, Pain Center, University of São Paulo, Brazil.
E-mail: koba@globo.com
Abstract
Introduction: Plantar fasciitis (PF) is an important cause of musculoskeletal pain and radial pressure waves (RPWs) can be used for patients not improving after 3 months of other non-operative measures. However, in refractory cases of PT, it is imperative to investigate possible differential diagnoses and one of its important differential diagnoses is tarsal tunnel syndrome (TTS). TTS is a rare but important condition which is regularly under diagnosed leading to a range of symptoms affecting the plantar aspect of the foot typically associated with a neuropathic pain pattern.
Case Report: We report a case of PF with TTS and associated neuropathic components. At first, nortriptyline 50 mg and 5% lidocaine patch were used, which improved the neuropathic pattern. After that, three RPW sessions were conducted at weekly intervals, with energy between 2 and 3 bars, frequency between 5 and 7 hertz. In addition to the area of greatest pain in the plantar fascia, treatment was also applied to the myofascial trigger points of the triceps surae and posterior tibial muscles. Three months after the last RPW session, the patient reported a 90% improvement in pain intensity, without limitations in daily activities.
Conclusion: This case highlights the importance of differential diagnoses of PF, especially before the indication of RPW in refractory cases. In addition to the neuropathic pattern associated with TTS, neuropathic pain associated with tendinopathies of the lower limbs is common (1/4 of cases) and needs to be identified and treated in conjunction with tendinopathy for a more effective result.
Keywords: Chronic pain, Plantar fasciitis, Tarsal tunnel syndrome, Mixed pain, Neuropathic pain, Shockwaves
References:
1. Charles R, Fang L, Zhu R, Wang J. The effectiveness of shockwave therapy on patellar tendinopathy, Achilles tendinopathy, and plantar fasciitis: a systematic review and meta-analysis. Front Immunol. 2023 Aug 16;14:1193835. doi: 10.3389/fimmu.2023.1193835. PMID: 37662911; PMCID: PMC10468604.
2. Wheeler PC. Up to a quarter of patients with certain chronic recalcitrant tendinopathies may have central sensitisation: a prospective cohort of more than 300 patients. Br J Pain. 2019 Aug;13(3):137-144. doi: 10.1177/2049463718800352. Epub 2018 Sep 21. PMID: 31308939; PMCID: PMC6613072.
3. Ahmad M, Tsang K, Mackenney PJ, Adedapo AO. Tarsal tunnel syndrome: A literature review. Foot Ankle Surg. 2012 Sep;18(3):149-52. doi: 10.1016/j.fas.2011.10.007. Epub 2011 Dec 21. PMID: 22857954.
4. Wheeler PC. Neuropathic pain may be common in chronic lower limb tendinopathy: a prospective cohort study. Br J Pain. 2017 Feb;11(1):16-22. doi: 10.1177/2049463716680560. Epub 2016 Nov 24. PMID: 28386400; PMCID: PMC5370628.
5. Camargo LS, Kobayashi R. Case report: Extracorporeal shock wave treatment in plantar fasciitis with an associated neuropathic component. How to optimize the result? J Regen Sci 2022;2:21-3.
6. Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J, Cunin G, Fermanian J, Ginies P, Grun-Overdyking A, Jafari-Schluep H, Lantéri-Minet M, Laurent B, Mick G, Serrie A, Valade D, Vicaut E. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (Dn4). Pain. 2005 Mar;114(1-2):29-36. doi : 10.1016/j.pain.2004.12.010. Epub 2005 Jan 26. PMID: 15733628.
7. Santos JG, Brito JO, de Andrade DC, Kaziyama VM, Ferreira KA, Souza I, et al. Translation to Portuguese and validation of the Douleur Neuropathique 4 questionnaire. J Pain. 2010 May;11(5):484-90. doi: 10.1016/j.jpain.2009.09.014. Epub 2009 Dec 16. PMID: 20015708.
8. Aqil A, Siddiqui MR, Solan M, Redfern DJ, Gulati V, Cobb JP. Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: a meta-analysis of RCTs. Clin Orthop Relat Res. 2013 Nov;471(11):3645-52. doi: 10.1007/s11999-013-3132-2. Epub 2013 Jun 28. PMID: 23813184; PMCID:PMC3792262.
9. Sun J, Gao F, Wang Y, Sun W, Jiang B, Li Z. Extracorporeal shock wave therapy is effective in treating chronic plantar fasciitis: A meta-analysis of RCTs. Medicine (Baltimore). 2017Apr;96(15):e6621. doi: 10.1097/MD.0000000000006621. PMID: 28403111; PMCID: PMC5403108.
10. Colloca L, Ludman T, Bouhassira D, Baron R, Dickenson AH, Yarnitsky D et al. Neuropathic pain. Nat Rev Dis Primers. 2017 Feb 16;3:17002. doi: 10.1038/nrdp.2017.2. PMID: 28205574; PMCID: PMC5371025.
11. Attal N, Cruccu G, Baron R, Haanpää M, Hansson P, Jensen TS, Nurmikko T. EFNS guidelines on the pharmacological treatment of neuropathic pain: 2010 revision. Eur J Neurol. 2010 Sep;17(9):1113-e88. doi: 10.1111/j.1468-1331.2010.02999.x. Epub 2010 Apr 9. PMID: 20402746.
12. Finnerup NB, Attal N, Haroutounian S, McNicol E, Baron R, Dworkin RH, et al. Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis. Lancet Neurol.2015 Feb;14(2):162-73. doi: 10.1016/S1474-4422(14)70251-0. Epub 2015 Jan 7. PMID: 25575710; PMCID: PMC4493167.
13. Finnerup NB. Nonnarcotic Methods of Pain Management N Engl J Med. 2019 Jun 20;380(25):2440-2448. doi: 10.1056/NEJMra1807061. PMID: 31216399.
| How to Cite this article: Kobayashi R | Extracorporeal Shock Wave Treatment and Multimodal Pain Management for Tarsal Tunnel Syndrome Associated with Plantar Fasciitis. Journal of Regenerative Science 2024;January-June;4(1):31-34 |
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Errors in Shock Wave Theory Can Impact Clinical Outcomes
Bibliographic Analysis | Vol 4 | Issue 1 | January-June 2024 | page: 35-36 | Achim M. Loske, Daniel Moya
DOI: https://doi.org/10.13107/jrs.2024.v04.i01.135
Author: Achim M. Loske [1], Daniel Moya [2]
[1] Centro de Física Aplicada y Tecnología Avanzada, Universidad Nacional Autónoma de México, Juriquilla, Querétaro, México,
[2] Department of Orthopaedics, Hospital Británico de Buenos Aires, Argentina.
Address of Correspondence
Dr. Daniel Moya,
Department of Orthopaedics, Hospital Británico de Buenos Aires, Argentina.
E-mail: drdanielmoya@yahoo.com.ar
Abstract
The mechanical waves that are used therapeutically are well defined from the point of view of physics. The differences between focused and radial waves are very important, however there is enormous confusion in the literature.
In the present bibliographic analysis we make a critical comment on a publication in which a pneumatic source is illustrated and presented as generating focused shock waves.
We believe that every effort should be made to be strict in definitions, not only because science is based on the search for truth, but also because errors in shock wave theory can impact clinical outcomes.
References:
1. An S, Li J, Xie W, Yin N, Li Y, Hu Y. Extracorporeal shockwave treatment in knee osteoarthritis: Therapeutic effects and possible mechanism. Biosci Rep 2020;40:BSR20200926.
2. 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.
3. Loske AM. Medical and Biomedical Applications of Shock Waves. Cham, Switzerland: Springer International; 2017.
4. Ueberle F, Rad A. Ballistic pain therapy devices: Measurement of pressure pulse parameters. Biomed Tech 2012;57:700-3.
5. International Society for Medical Shockwave Therapy. Physical Principles of ESWT Basic Physical Principles. Available from: https://www.shockwavetherapy.org/about-eswt/physical-principles-of-eswt [Last accessed on 2021 Jan 26].
6. International Society for Medical Shockwave Therapy. ISMST Recommendations-Terms and Definitions. Available from: https://www.shockwavetherapy.org/fileadmin/user_upload/dokumente/pdfs/formulare/consensus_mbradial_pressure_wave_2017_ss.pdf [Last accessed on 2021 Jan 26].
7. Federación Ibero-Latinoamericana de Ondas de Choque e Ingeniería Tisular (Onlat) Ondas de Choque en Medicina: La Nueva Frontera. Available from: https://onlat.net/?page_id=2491 [Last accessed on 2021 Jan 26].
8. European Commission DG Health and Consumer. Medical Devices: Guidance Document. Classification of Medical Devices. MEDDEV 2. 4/1 Rev. 9; 2010. Available from: https://pdf4pro.com/download/medical-devices-guidance-document-6fa97.html [Last accessed on 2021 Jan 26].
| How to Cite this article: Loske AM, Moya D. Errors in Shock Wave Theory Can Impact Clinical Outcomes. Journal of Regenerative Science 2024;January-June;4(1):35-36. |
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China, The Awakened Giant
Editorial | Vol 3 | Issue 2 | July-December 2023 | page: 01-02 | Daniel Moya
DOI: https://doi.org/10.13107/jrs.2023.v03.i02.85
Author: Daniel Moya [1]
[1] Department of Orthopaedics. Buenos Aires British Hospital, Argentina.
Address of Correspondence
Dr. Daniel Moya,
Department of Orthopaedics. Buenos Aires British Hospital, Argentina.
E-mail: drdanielmoya@yahoo.com.ar
Editorial:
The history of Chinese medicine is as long and legendary as that of the country itself. Its origins date back 3000 years [1]. Scientific knowledge and medical practice has gone through numerous stages.
Between the 8th and 3rd centuries BC, China went through a period of great cultural and intellectual development called the “Hundred Schools of Thought” [2]. An attempt was made to seek the explanation of the phenomena of the universe in nature itself, leaving aside explanations based on magic and myths [2]. The new ideas discussed and developed during this period have profoundly influenced philosophical views and lifestyles up to the present day in East Asian countries.
A fundamental milestone was the publication of “Huangdi Neijing“. Also known as the “Inner Canon of Huangdi“ or “Inner Canon of the Yellow Emperor“, it is the earliest surviving work on Chinese medicine[3]. Its author, Emperor Huangdi, is not only considered the initiator of Chinese Traditional Medicine but also the father of Chinese civilization.
Caring for the health of the population has been a priority in this country throughout the centuries. As a history lover, it is difficult for me to find another example of a nation embarking on an unequal war to defend its public health. This happened when the Western powers, led by the British Empire, sought to create opium addiction among the Chinese population in order to balance their trade balance by trafficking drugs [4]. These infamous conflicts went down in history as the “Opium Wars” and cost the lives of thousands of Chinese citizens.
In the last decades, China’s healthcare system has made great achievements in the management of medical services and public health for the Chinese people[5]. Average life expectancy at birth was 35 years before the founding of new China, and it reached 77.0 years in 2018 [6]. The projected life expectancy at birth in mainland China in 2035 is 81,3 years [7].
On April 6, 2009, China presented an action plan to undertake a radical and ambitious reform of the health system [8]. The goal is to achieve universal health coverage.
The history of shock waves in this country is a reflection of the described dynamism and historical background. The beginnings of its use in China can be traced back to the 1980s in the urological field. Prof. Xing Gengyan was the pioneer of indications in musculoskeletal pathology starting in 1993. Since that moment he has been a promoter not only of research and clinical applications, but also of medical education. In 2019, he organized in Beijing the largest international shock wave congress in history. It is a great honor that he has contributed to this issue by writing about the development of this therapeutic practice in China.
In parallel with healthcare and academic development, the Chinese industry has risen to the occasion by providing high-quality devices.
The content of this volume reflects not only the ability of our Chinese colleagues but also their openness to the world and their generosity in sharing information. Numerous universities and hospitals from different regions throughout China have collaborated selflessly. This could not have been accomplished without the monumental task of Dr. Sun Wei, our Guest Editor.
Napoleon Bonaparte is credited with the phrase “China is a sleeping giant, when she wakes she will shake the world“. Two hundred years later the giant is awake and brimming with energy.
References
[1] Reyes G Ariel E. Evolución Histórica de la Medicina Tradicional China. Comunidad y Salud [Internet]. 2008 Dic [citado 2023 Dic 27] ; 6( 2 ): 42-49. Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S1690-32932008000200005&lng=es
[2] Orígenes de la Medicina China. Escuela Li Ping de acupuntura y Medicina Tradicional China. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://escuelaliping.com/wp-content/uploads/2013/10/Tema1.pdf
[3] Huang di nei jing su wen. Library of the congress. https://www.loc.gov/item/2021666312
[4] Travis Hanes III W, and Sanello F. The Addiction of One Empire and the Corruption of Another. Ed. Sourcebooks. 2004. ISBN-13 : 978-1402201493
[5] Chen C, Liu M. Achievements and Challenges of the Healthcare System in China. Cureus. 2023 May 15;15(5):e39030. doi: 10.7759/cureus.39030. PMID: 37378106; PMCID: PMC10292030.
[6] Yuan, X., Gao, Y. Demographic transition and economic miracles in China: an analysis based on demographic perspective. IJEPS 14, 25–45 (2020). https://doi.org/10.1007/s42495-019-00030-0
[7] Bai R, Liu Y, Zhang L, Dong W, Bai Z, Zhou M. Projections of future life expectancy in China up to 2035: a modelling study. Lancet Public Health. 2023 Dec;8(12):e915-e922. doi: 10.1016/S2468-2667(22)00338-3. Epub 2023 Mar 30. PMID: 37004714; PMCID: PMC10188127.
[8]China’s latest revolution: Basic health care for all. https://www.ilo.org/global/about-the-ilo/mission-and-objectives/features/WCMS_188582/lang–en/index.htm
| How to Cite this article: Moya D | China, The Awakened Giant. | Journal of Regenerative Science | Jul-Dec 2023; 3(2): 01-02. |
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