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Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review

Compared to other long bones, forearm fractures are particularly challenging due to the high rate of complications. These include malunion, delayed/nonunion, wrist and elbow movement reduction, and pain. Surgical procedure is considered the gold standard for managing delayed union and nonunion of th...

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Autores principales: Ryskalin, Larisa, Fulceri, Federica, Morucci, Gabriele, Dell’Agli, Stefania, Soldani, Paola, Gesi, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10684947/
https://www.ncbi.nlm.nih.gov/pubmed/38033992
http://dx.doi.org/10.3389/fendo.2023.1286480
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author Ryskalin, Larisa
Fulceri, Federica
Morucci, Gabriele
Dell’Agli, Stefania
Soldani, Paola
Gesi, Marco
author_facet Ryskalin, Larisa
Fulceri, Federica
Morucci, Gabriele
Dell’Agli, Stefania
Soldani, Paola
Gesi, Marco
author_sort Ryskalin, Larisa
collection PubMed
description Compared to other long bones, forearm fractures are particularly challenging due to the high rate of complications. These include malunion, delayed/nonunion, wrist and elbow movement reduction, and pain. Surgical procedure is considered the gold standard for managing delayed union and nonunion of the long bones. However, in the last decades, extracorporeal shockwave therapy (ESWT) has emerged as an effective and less invasive approach to enhance bone regeneration and fracture healing, avoiding major complications of surgical procedures. In contrast to the broad literature reporting good clinical results of ESWT in the treatment of nonunions, there is currently limited evidence regarding the clinical application of shock waves on long bone delayed fractures, particularly those of the forearm. In the present paper, we report a case of delayed bone healing of the diaphyseal region of the ulna treated with focused ESWT. The successful case experienced bone healing at the fracture site in less than 3 months after initial ESWT treatment. Acknowledging the limitation of reporting a case report, however, the remarkable clinical results and the absence of side effects contribute valuable information in support of the use of ESWT as an effective alternative to standard surgery for forearm fractures.
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spelling pubmed-106849472023-11-30 Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review Ryskalin, Larisa Fulceri, Federica Morucci, Gabriele Dell’Agli, Stefania Soldani, Paola Gesi, Marco Front Endocrinol (Lausanne) Endocrinology Compared to other long bones, forearm fractures are particularly challenging due to the high rate of complications. These include malunion, delayed/nonunion, wrist and elbow movement reduction, and pain. Surgical procedure is considered the gold standard for managing delayed union and nonunion of the long bones. However, in the last decades, extracorporeal shockwave therapy (ESWT) has emerged as an effective and less invasive approach to enhance bone regeneration and fracture healing, avoiding major complications of surgical procedures. In contrast to the broad literature reporting good clinical results of ESWT in the treatment of nonunions, there is currently limited evidence regarding the clinical application of shock waves on long bone delayed fractures, particularly those of the forearm. In the present paper, we report a case of delayed bone healing of the diaphyseal region of the ulna treated with focused ESWT. The successful case experienced bone healing at the fracture site in less than 3 months after initial ESWT treatment. Acknowledging the limitation of reporting a case report, however, the remarkable clinical results and the absence of side effects contribute valuable information in support of the use of ESWT as an effective alternative to standard surgery for forearm fractures. Frontiers Media S.A. 2023-11-15 /pmc/articles/PMC10684947/ /pubmed/38033992 http://dx.doi.org/10.3389/fendo.2023.1286480 Text en Copyright © 2023 Ryskalin, Fulceri, Morucci, Dell’Agli, Soldani and Gesi https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Ryskalin, Larisa
Fulceri, Federica
Morucci, Gabriele
Dell’Agli, Stefania
Soldani, Paola
Gesi, Marco
Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review
title Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review
title_full Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review
title_fullStr Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review
title_full_unstemmed Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review
title_short Treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review
title_sort treatment of delayed union of the forearm with extracorporeal shockwave therapy: a case report and literature review
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10684947/
https://www.ncbi.nlm.nih.gov/pubmed/38033992
http://dx.doi.org/10.3389/fendo.2023.1286480
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