[体外冲击波疗法治疗尺侧或桡侧肱骨外上髁炎——一项前瞻性、对照、比较研究]
[Extracorporeal shockwave therapy in epicondylitis humeri ulnaris or radialis--a prospective, controlled, comparative study].
作者信息
Krischek O, Pompe J D, Hopf C, Vogel J, Herbsthofer B, Nafe B, Bürger R
机构信息
Orthopädische Universitätsklinik Mainz.
出版信息
Z Orthop Ihre Grenzgeb. 1998 Jan-Feb;136(1):3-7. doi: 10.1055/s-2008-1044642.
AIM OF THE STUDY
Has extracorporal shockwave therapy in chronic golfer's elbow comparable results as in tennis elbow?
METHOD
30 patients for extracorporal shockwave therapy who suffered from chronic medial epicondylitis (group I) and 30 patients with persistent tennis elbow (group II) received 500 impulses of 0.08 mJ/mm2 three times at weekly intervals. The final follow-up examination was done after 24 weeks.
RESULTS
Significant differences in relief of pain and improvement of function were observed in favour of group II. Good or excellent outcome was found in only 27% for the epicondylitis humeri ulnaris, but in 60% for epicondylitis humeri radialis.
CONCLUSION
The indication for extracorporeal shock-wave therapy in medial epicondylitis must be questioned.
研究目的
体外冲击波疗法治疗慢性高尔夫球肘的效果与网球肘是否相当？
方法
30例患有慢性内侧上髁炎的患者（第一组）和30例持续性网球肘患者（第二组）接受了每周一次、每次500次、能量为0.08 mJ/mm2的体外冲击波治疗。24周后进行最终随访检查。
结果
观察到在疼痛缓解和功能改善方面存在显著差异，第二组情况更佳。尺侧上髁炎患者仅有27%获得良好或优异的治疗效果，而桡侧上髁炎患者这一比例为60%。
结论
内侧上髁炎体外冲击波治疗的适应证值得质疑。
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