Krischek O, Hopf C, Nafe B, Rompe J D
Orthopaedic University Hospital Mainz, Germany.
Arch Orthop Trauma Surg. 1999;119(1-2):62-6. doi: 10.1007/s004020050356.
Thirty patients with chronic medial epicondylitis were treated with low-energy shock waves. They received 500 impulses of 0.08 mJ/mm2 three times at weekly intervals. At 1 year follow-up examinations were performed. According to the Verhaar criteria, only seven patients reached excellent or good results. In eight cases a fair outcome was recorded, and in 14 patients the outcome was poor. Only six patients were satisfied with the treatment. The average relief of pain was 32%. These data were significantly worse than for identically treated patients with chronic tennis elbow. Thus, the question arises as to whether extracorporal shock-wave therapy is indicated in medial epicondylitis.
30例慢性内上髁炎患者接受了低能量冲击波治疗。他们每周接受3次，每次500个脉冲，能量密度为0.08 mJ/mm²。在1年时进行随访检查。根据Verhaar标准，只有7例患者达到优或良的结果。8例患者结果为尚可，14例患者结果较差。只有6例患者对治疗满意。疼痛平均缓解率为32%。这些数据明显比接受相同治疗的慢性网球肘患者差。因此，体外冲击波疗法是否适用于内上髁炎就成了一个问题。
