Extracorporeal shock wave therapy as a treatment for heterotopic ossification

Reznik, Jacqueline; Milanese, Steven; Golledge, Jonathan; Biroš, Erik; Gordon, Susan; Galea, Mary P.

doi:10.1179/1743288x13y.0000000084

Cited by 5 publications

(5 citation statements)

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“…Moreover, to judge the effect of RSWT on NHO, quantifications like three-dimensional CT were also neglected apart from simple X-ray. Also we applied 2,500 shocks of 3.0 bars for six sessions, which is a higher number of treatment sessions compared to previous studies [ 4 ], which might have increased the bleeding risks.…”

Section: Discussionmentioning

confidence: 99%

“…Serum alkaline phosphatase (ALP) levels had almost normalized and no further progression of NHO was noted. Therefore, we decided to apply RSWT on chronic NHO according to previous reports [ 4 5 ]. Etidronate disodium and NSAID had been discontinued one week prior to RSWT.…”

Section: Case Reportmentioning

confidence: 99%

“…There are several cases reported, where ESWT was effective in relieving pain caused by mature NHO [ 3 4 5 ]. Among these cases, only one of them applied RSWT while the others used FSWT.…”

Section: Introductionmentioning

confidence: 99%

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Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report

et al. 2017

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Extracorporeal shockwave therapy (ESWT) has been reported to be a safe and effective method for decreasing pain and relieving range of motion (ROM) limitations caused by neurogenic heterotopic ossification (NHO), though there has been no report that it might cause hematoma if applied to NHO. We hereby report a case of massive hematoma after ESWT, specifically the radial shockwave therapy (RSWT) device at both hips in a 49-year-old female patient with NHO. She had developed NHO after extensive subarachnoid hemorrhage. We had applied RSWT according to the previous report. The pain and the ROM limitations were gradually improved. Six weeks later, she reported pain and ROM limitations on the right hip. From a medial aspect, swelling and bruising of the right thigh could be seen. Magnetic resonance imaging and ultrasonography suggested a large hematoma between right hip adductor muscles. The symptoms disappeared after conservative treatment for one month, and subsequent follow-up imaging studies demonstrated resolution of the hematoma.

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

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Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report

et al. 2017

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“…Plain X-ray of the right hip was done and revealed HO at greater trochanter and femoral head with long axis length for greater trochanter HO 37.3 mm seems desirable to find ways of either preventing or treating this pathological process for improved rehabilitation. There are several studies reported, where ESWT was effective in relieving pain caused by mature HO [5], [6].…”

Section: Case Presentationmentioning

confidence: 99%

Extracorporeal Shockwave Therapy for Painful Chronic Traumatic Heterotopic Ossification after Right Acetabulum Fracture Fixation: A Case Report and Literature Review

Ahmed

Alghunaim

Mosalem

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: Heterotopic ossification (HO) usually occurs in trauma, such as fractures. To the best of our knowledge, there is a lack of studies about the effects of shockwave on the size of HO in the literature. AIM: The aim of this study was to describe the effects of extracorporeal shockwave therapy (ESWT) on the size of HO as well as the lower extremity functions in patients with fracture right acetabulum. CASE REPORT: A 36-year-old gentleman had a traffic accident on August 30, 2015, resulted in a fracture of the right acetabulum treated by open reduction and internal fixation on September 2, 2015. The patient has complained of severe right hip pain with limitation of daily activities, especially walking, standing, and sitting, visual analog scale about 7-8/10 with painful and restricted ROM of the right hip. Plain X-ray of the right hip revealed HO at greater trochanter with a long axis length 37.3 mm. ESWT was applied for HO. ESWT was administered 6 times each weekly for 6 weeks. At 6-month follow-up, the size of HO had become slightly smaller with the improvement of pain, and lower extremities functions. DISCUSSION: Soft tissues around HO have been regenerated from ischemia for several reasons such as ESWT stimulating angiogenesis and neurogenesis and the size of HO had become slightly smaller by radial shockwave therapy. CONCLUSION: ESWT is a novel non-invasive and safe treatment for HO. The effects of ESWT on the size of HO had become slightly smaller with the improvement of lower extremities functions.

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“…Neurogenic heterotopic ossification (NHO) is a complication of a neurological injury, with ossification often affecting major synovial joints such as the hip or knee [2,3] . NHO is particularly found in patients following traumatic brain injury (TBI), with an estimated prevalence of between 3% and 23% [4][5][6] . NHO typically develops within two to four months of the initial trauma and manifests itself clinically as swelling, erythema, warmth, and severe pain [7] .…”

Section: Introductionmentioning

confidence: 99%

A preliminary investigation on the effect of extracorporeal shock wave therapy as a treatment for neurogenic heterotopic ossification following traumatic brain injury. Part I: Effects on pain

Reznik¹,

Biroš

Sacher

et al. 2017

Brain Injury

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Extracorporeal shock wave therapy as a treatment for heterotopic ossification

Abstract: Background: Extracorporeal shock wave therapy (ESWT) is an intervention treatment in

Cited by 5 publications

References 50 publications

Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report

Intramuscular Hematoma Following Radial Extracorporeal Shockwave Therapy for Chronic Neurogenic Heterotopic Ossification: A Case Report

Extracorporeal Shockwave Therapy for Painful Chronic Traumatic Heterotopic Ossification after Right Acetabulum Fracture Fixation: A Case Report and Literature Review

A preliminary investigation on the effect of extracorporeal shock wave therapy as a treatment for neurogenic heterotopic ossification following traumatic brain injury. Part I: Effects on pain

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