Castagna Alessandro, Castagna Enrico, Fontani Vania, Rinaldi Salvatore
Department of Research, Rinaldi Fontani Foundation, Florence, ITA.
School of Specialization in Physical and Rehabilitation Medicine, Sapienza University of Rome, Rome, ITA.
Cureus. 2025 Feb 4;17(2):e78495. doi: 10.7759/cureus.78495. eCollection 2025 Feb.
This case report describes the clinical progress of a 22-year-old male patient diagnosed with a consolidating Hill-Sachs lesion, treated with 18 sessions of Tissue Optimization Reparative (TO-Rpr) protocol, specific to Radio Electric Asymmetric Conveyor (REAC) technology. At baseline, the patient reported persistent pain with a numeric rating scale (NRS) score of 7 out of 10 and significant functional limitations of the shoulder (flexion 90°, abduction 70°, external rotation 20°), accompanied by bone marrow edema, tendinous alterations, and significant inflammation. The therapeutic protocol aimed to modulate tissue bioelectric activity to promote reparative processes and reduce inflammation. Follow-up MRI, performed four months after treatment, revealed complete resolution of bone marrow edema, normalization of tendinous structures, and reduced cortical irregularities. Clinically, flexion improved to 160°, abduction to 150°, and external rotation to 70°, with muscle strength restored to 5/5 and pain reduced to 0/10 on the NRS. This case highlights the role of REAC TO-Rpr treatment in managing complex joint lesions, showcasing its potential to significantly improve clinical and radiological parameters within a short timeframe.
本病例报告描述了一名22岁男性患者的临床进展，该患者被诊断为合并Hill-Sachs损伤，采用了针对射频不对称输送器（REAC）技术的组织优化修复（TO-Rpr）方案进行了18次治疗。基线时，患者报告持续疼痛，数字评定量表（NRS）评分为7分（满分10分），肩部存在明显功能受限（前屈90°、外展70°、外旋20°），伴有骨髓水肿、肌腱改变和明显炎症。治疗方案旨在调节组织生物电活动，以促进修复过程并减轻炎症。治疗四个月后进行的随访磁共振成像（MRI）显示，骨髓水肿完全消退，肌腱结构恢复正常，皮质不规则性减轻。临床上，前屈改善至160°，外展改善至150°，外旋改善至70°，肌肉力量恢复至5/5，NRS疼痛评分降至0/10。本病例突出了REAC TO-Rpr治疗在处理复杂关节损伤中的作用，显示了其在短时间内显著改善临床和影像学参数的潜力。
