Dept. Orthopaedic Surgery and Traumatology, University Schleswig Holstein, Campus Kiel, Arnold Heller Strasse 3, 24105 Kiel, Germany; Technical University of Munich, Dept. Orthopedics and Traumatology, Ismaninger Straße 22, D-81675 Munich, Germany.
Stosswellenzentrum-wien.at, AUVA Trauma Center Meidling, Ludwig Boltzmann Institute dir exp. and clin. Traumatology, Austria.
Int J Surg. 2015 Dec;24(Pt B):154-9. doi: 10.1016/j.ijsu.2015.07.718. Epub 2015 Aug 29.
Chronic Achilles tendinopathy has been described as the most common overuse injury in sports medicine. Several treatment modalities such as activity modification, heel lifts, arch supports, stretching exercises, nonsteroidal anti-inflammatories, and eccentric loading are known as standard treatment mostly without proven evidence. After failed conservative therapy, invasive treatment may be considered. Extracorporeal shock wave therapy (ESWT) has been successfully used in soft-tissue pathologies like lateral epicondylitis, plantar fasciitis, tendinopathy of the shoulder and also in bone and skin disorders. Conclusive evidence recommending ESWT as a treatment for Achilles tendinopathy is still lacking. In plantar fasciitis as well as in calcific shoulder tendinopathy shock wave therapy is recently the best evaluated treatment option. This article analysis the evidence based literature of ESWT in chronic Achilles tendinopathy. Recently published data have shown the efficacy of focused and radial extracorporeal shock wave therapy.
慢性跟腱腱病被描述为运动医学中最常见的过度使用损伤。一些治疗方法，如活动调整、脚跟抬高、足弓支撑、伸展运动、非甾体抗炎药和离心加载，被认为是标准治疗方法，但没有经过证实的证据。在保守治疗失败后，可以考虑进行侵入性治疗。体外冲击波疗法（ESWT）已成功用于治疗外侧上髁炎、足底筋膜炎、肩袖肌腱病等软组织疾病，以及骨骼和皮肤疾病。目前仍缺乏将 ESWT 推荐为治疗跟腱腱病的明确证据。在足底筋膜炎和钙化性肩袖肌腱病中，冲击波治疗是最近评估效果最好的治疗方法。本文分析了 ESWT 在慢性跟腱腱病中的循证文献。最近发表的数据显示了聚焦式和径向式体外冲击波治疗的疗效。
