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Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report

INTRODUCTION: While the efficacy of focused Extracorporeal Shock Wave Therapy (ESWT) in the treatment of Dupuytren's disease (DD) is supported by one positive trial, the effects of radial ESWT is unclear. PATIENT CONCERNS: A 79-year-old man with a 4-year history of impairment of left-hand funct...

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Autores principales: Brunelli, Stefano, Bonanni, Cinzia, Traballesi, Marco, Foti, Calogero
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302658/
https://www.ncbi.nlm.nih.gov/pubmed/32541491
http://dx.doi.org/10.1097/MD.0000000000020587
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author Brunelli, Stefano
Bonanni, Cinzia
Traballesi, Marco
Foti, Calogero
author_facet Brunelli, Stefano
Bonanni, Cinzia
Traballesi, Marco
Foti, Calogero
author_sort Brunelli, Stefano
collection PubMed
description INTRODUCTION: While the efficacy of focused Extracorporeal Shock Wave Therapy (ESWT) in the treatment of Dupuytren's disease (DD) is supported by one positive trial, the effects of radial ESWT is unclear. PATIENT CONCERNS: A 79-year-old man with a 4-year history of impairment of left-hand function and pain due to DD with weakness and flexion deformities of middle and ring fingers. He has not been treated before for this impairment. DIAGNOSIS: The diagnosis of DD was based on clinical features and ultrasound images. INTERVENTIONS: Four weekly sessions of radial ESWT with 1400 impulses 3 bar each, 12 Hz. OUTCOMES: The limitations in activities of daily living were analyzed through the Disabilities of Arm Shoulder and Hand Questionnaire (DASH) and Michigan Hand Outcome Questionnaire (MHQ) at baseline, after four sessions of radial ESWT and at 4-months follow-up. Data analysis showed a significant reduction of hand deformities and an improvement of daily living performance. The effects continued at the 4-months follow-up. CONCLUSION: This case report demonstrates the feasibility of radial ESWT. Radial ESWT sessions may be carried out by a physiotherapist in outpatient clinics with cost reduction compared with surgical treatment and focused ESWT. Radial ESWT is a non-invasive, well tolerated therapy, so it should be considered in the DD treatment.
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spelling pubmed-73026582020-06-29 Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report Brunelli, Stefano Bonanni, Cinzia Traballesi, Marco Foti, Calogero Medicine (Baltimore) 6300 INTRODUCTION: While the efficacy of focused Extracorporeal Shock Wave Therapy (ESWT) in the treatment of Dupuytren's disease (DD) is supported by one positive trial, the effects of radial ESWT is unclear. PATIENT CONCERNS: A 79-year-old man with a 4-year history of impairment of left-hand function and pain due to DD with weakness and flexion deformities of middle and ring fingers. He has not been treated before for this impairment. DIAGNOSIS: The diagnosis of DD was based on clinical features and ultrasound images. INTERVENTIONS: Four weekly sessions of radial ESWT with 1400 impulses 3 bar each, 12 Hz. OUTCOMES: The limitations in activities of daily living were analyzed through the Disabilities of Arm Shoulder and Hand Questionnaire (DASH) and Michigan Hand Outcome Questionnaire (MHQ) at baseline, after four sessions of radial ESWT and at 4-months follow-up. Data analysis showed a significant reduction of hand deformities and an improvement of daily living performance. The effects continued at the 4-months follow-up. CONCLUSION: This case report demonstrates the feasibility of radial ESWT. Radial ESWT sessions may be carried out by a physiotherapist in outpatient clinics with cost reduction compared with surgical treatment and focused ESWT. Radial ESWT is a non-invasive, well tolerated therapy, so it should be considered in the DD treatment. Wolters Kluwer Health 2020-06-12 /pmc/articles/PMC7302658/ /pubmed/32541491 http://dx.doi.org/10.1097/MD.0000000000020587 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6300
Brunelli, Stefano
Bonanni, Cinzia
Traballesi, Marco
Foti, Calogero
Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report
title Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report
title_full Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report
title_fullStr Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report
title_full_unstemmed Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report
title_short Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report
title_sort radial extracorporeal shock wave therapy: a novel approach for the treatment of dupuytren's contractures: a case report
topic 6300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302658/
https://www.ncbi.nlm.nih.gov/pubmed/32541491
http://dx.doi.org/10.1097/MD.0000000000020587
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