Spindler A, Berman A, Lucero E, Braier M
Cátedra de Pos Grado de Reumatología, Facultad de Medicina, Universidad Nacional de Tucumán, Argentina.
J Rheumatol. 1998 Jun;25(6):1161-3.
To study the clinical and radiological response of chronic calcific tendinitis of the shoulder to extracorporeal shock wave treatment (ESWT).
The study included 3 female patients, 42, 48, and 50 years of age, all with calcified tendinitis of the rotator cuff. All had severe shoulder pain and limitation of motion. ESWT was done in one session with an extracorporeal shock wave lithotripter.
After 24 hours, a fragmentation of calcification was achieved, and the patients had no pain and had entirely regained their joint movement. After 2 years of followup they were clinically and radiologically asymptomatic, and there were no adverse effects or other complications.
With its good tolerance, safety, and clinical and radiologic response, ESWT should be considered as an alternative therapy in the treatment of chronic calcific tendinitis of the shoulder refractory to other therapies.
研究肩部慢性钙化性肌腱炎对体外冲击波治疗（ESWT）的临床及影像学反应。
该研究纳入3名女性患者，年龄分别为42岁、48岁和50岁，均患有肩袖钙化性肌腱炎。所有患者均有严重的肩部疼痛及活动受限。使用体外冲击波碎石机进行单次ESWT治疗。
24小时后，钙化灶出现碎裂，患者疼痛消失，关节活动完全恢复。随访2年后，患者临床及影像学检查均无异常，且无不良反应或其他并发症。
鉴于其良好的耐受性、安全性以及临床和影像学反应，ESWT应被视为治疗对其他疗法难治的肩部慢性钙化性肌腱炎的一种替代疗法。
