Extracorporeal shockwave therapy for the treatment of scaphoid delayed union in a tennis player: A case report

Shimozono, Ryota; Nakatani, Tetsuya; Hiroshima, Yuji; Takeuchi, Masafumi; Onga, T

doi:10.1016/j.tcr.2022.100642

Cited by 1 publication

(1 citation statement)

References 10 publications

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“…78 In 10 male elite and subelite soccer players with delayed union/non-union of tibial or fifth metatarsal stress fractures, 3-4 sessions of F-SWT were effective in pain relief and bony union and allowed them to return to full competition at ten weeks to 24 weeks after treatment with one patient requiring repeat treatment to achieve bony union. 79 Based on the seven case reports, ESWT was found to be effective in relieving pain and facilitating in return to play in osteochondritis dissecans of bilateral medial femoral condyle, 80 scaphoid delayed union, 81 resistant stress fractures (base of the fifth metatarsal bone, medial malleolus of the ankle, middle third tibia and inferior pubic ramus), 82 avulsion fracture of the sublime tubercle of ulna, 83 sesamoid osteonecrosis, 84 delayed union of midshaft clavicle fracture 85 and symptomatic bilateral bipartite patella. 35…”

Section: Bone-related Injuriesmentioning

confidence: 99%

Use of extracorporeal shockwave therapies for athletes and physically active individuals: a systematic review

Rhim,

Shin,

Kang

et al. 2024

Br J Sports Med

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ObjectiveTo determine the efficacy of extracorporeal shockwave therapy (ESWT) and investigate outcomes following the use of ESWT for athletes and physically active individuals.DesignSystematic review.Data sourcesWe followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and searched four databases: PubMed (NLM), Embase (Elsevier), CINAHL Complete (EBSCO) and Web of Science (Clarivate).Eligibility criteria for selecting studiesIncluded studies were randomised controlled trials, cohort and case–control studies, cases series and reports that evaluated outcomes following ESWT for athletes, physically active individuals and occupational groups requiring regular physical activity such as military cadets.Results56 studies with 1874 athletes or physically active individuals were included. Using the Oxford level of evidence rating, included studies were 18 level I (32.1%), 3 level II (5.4%), 10 level III (17.9%), 13 level IV (23.2%) and 12 level V (21.4%). Based on the level I studies, ESWT may be effective alone in plantar fasciitis, lateral epicondylitis and proximal hamstring tendinopathy and as an adjunct to exercise treatment in medial tibial stress syndrome and osteitis pubis in athletes or physically active individuals. In most studies, athletes were allowed to continue activities and training and tolerated ESWT with minimal side effects.ConclusionESWT may offer an efficacious treatment alone or as an adjunct to concurrent exercise therapy in selected sports-related injuries and without major adverse events. Further high-level research is needed to better define the role and clinical outcomes of ESWT.

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