Fallvorstellung der arthroskopisch kontrollierten Therapie der Osteochondrosis dissecans mittels ESWT

Marx, Svetlana; Thiele, R.

doi:10.1007/s00142-003-0224-0

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…The literature is poor, but there is a case report by Moretti et al concerning a successful treatment of bilateral osteochondrosis dissecans at the knee, and there is a published series from Berlin, which reported positive results. 45 , 46 …”

Section: Indications/location/resultsmentioning

confidence: 99%

Extracorporeal shock wave therapy: an update

Auersperg¹,

Trieb

2020

EFORT Open Reviews

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Extracorporeal shock wave therapy (ESWT) is a safe therapy and there are only a few side effects known (such as pain during ESWT and minor haematomata), but no severe complications are to be expected if it is performed as recommended. Contraindications are severe coagulopathy for high-energy ESWT, and ESWT with focus on the foetus or embryo and focus on severe infection. The effect mechanism of ESWT is still a component of diverse studies, but as far as we can summarize today, it is a similar process to a cascade triggered by mechano-transduction: mechanical energy causes changes in the cellular skeleton, which provokes a reaction of the cell core (for example release of mRNA) to influence diverse cell structures such as mitochondria, endoplasmic reticulum, intracellular vesicles, etc., so the enzymatic response leads to the improvement of the healing process. The usage of ESWT should be taught, to improve the outcome. Courses should be organized by national societies, since the legal framework conditions are different from one country to another. In this update the musculoskeletal indications are addressed (mainly bone and tendons): pseudoarthrosis, delayed fracture healing, bone marrow oedema and osteonecrosis in its early stages, insertional tendinopathies such as plantar fasciitis and Achilles tendon fasciitis, calcifying tendonitis of the rotator cuff, tennis elbow, and wound healing problems. Cite this article: EFORT Open Rev 2020;5:584-592. DOI: 10.1302/2058-5241.5.190067

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Section: Indications/location/resultsmentioning

confidence: 99%

Extracorporeal shock wave therapy: an update

Auersperg¹,

Trieb

2020

EFORT Open Reviews

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“…This leaves only the possibility of case reports or retrospective analyses to enable conclusions to be drawn on the value of ESWT in the treatment of pseudoarthrosis. More and more importance is being attached to the use of ESWT in the treatment of the early stages of osteochondrosis dissecans [ 11 ] and necrosis of the head of the femur [ 12 ]. ESWT should therefore also be included in the choice of the appropriate treatment for such cases.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal shock-wave therapy in the treatment of pseudoarthrosis: a case report

Endres¹,

Weiskirch²,

Hinz³

et al. 2008

Cases Journal

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Adult osteochondritis dissecans and focussed ESWT: A successful treatment option

Thiele

Gerdesmeyer³

2015

International Journal of Surgery

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Extracorporeal shockwave therapy (ESWT) has gained acceptance in the medical field and in the treatment of non-unions and delayed bone healing. ESWT has been used effectively for many years as a noninvasive surgical procedure. The idea of treating Osteochondritis dissecans of knee and talus arose in the middle of the 1990's. OCD is known as a pre-arthritic factor in the long-term and still there is no consistent treatment. In the literature there is still only a small number of publications but international societies for shockwave treatment are convinced that ESWT on OCD shows to be an effective and safe method in the treatment of OCD in the early stages. We want to summarize the actual data on the treatment of OCD by ESWT.

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Fallvorstellung der arthroskopisch kontrollierten Therapie der Osteochondrosis dissecans mittels ESWT

Cited by 3 publications

References 9 publications

Extracorporeal shock wave therapy: an update

Extracorporeal shock wave therapy: an update

Extracorporeal shock-wave therapy in the treatment of pseudoarthrosis: a case report

Adult osteochondritis dissecans and focussed ESWT: A successful treatment option

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