Bestrahlung beim Impingementsyndrom des Schultergelenks

Abstract

Shoulder diseases of secondary impingement demonstrate a good response to RT. Less or no benefit was found in primary impingement syndrome or complete rotator cuff disruption and acute shoulder injuries, respectively.

Radiation Therapy for Prevention of Heterotopic Ossification about the Elbow

“…The use of RT in the treatment of numerous benign conditions, such as degenerative or dermatologic disorders [1,14,29,35] is still controversial, an international survey revealed a universal acceptance of prophylactic RT for prevention of HO [21]. Since the introductory report by Coventry & Scanlon in 1981 [8], numerous studies have been conducted to analyze the value of different dose-fractionation schedules for postoperative RT [3,8,11,18,20,26,28,31,32].…”

Combined Radiotherapy and Indomethacin for the Prevention of Heterotopic Ossification after Total Hip Arthroplasty

“…Radiotherapy (RT) is a modality commonly used in the treatment of benign diseases [1,13,21,25]. Postoperative heterotopic ossification (HO) is a frequent complication following hip replacement surgery.…”

Calcifying Tendonitis of the Shoulder Joint

“…A more recent publication of our study group demonstrated an etiologic assignment of different diseases to the primary, secondary and non-impingement, based on the exact diagnosis of shoulder pain [1]. We concluded that this assignment provides a better prediction of response to therapy.…”

“…The response to therapy was assessed with the orthopedic Constant Score according to patients' age and sex [3] (Table 2). Clinical examination was performed at the beginning of therapy, before the second series, and 6 and 18 months after end of radiotherapy [1]. Clinical results were correlated with the findings in radiographs and ultrasound.…”

“…Treatment options encompass oral antiphlogistics, local injections of steroids, ultrasound, shock-wave, magnetic-field therapy and, finally, low-dose radiotherapy (LD-RT) [1,10,11,15,25]. DePalma implemented the term of secondary impingement in 1952, which contains the calcifying tendonitis, bursitis subdeltoidea, and partial and total rupture of rotator cuff [4].…”