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

Kim, Howard; Cheon, Ji Hwan; Lee, Dong Youl; Cho, Youn Kyung; Lee, Sung Hoon; Kang, Eun Young

doi:10.5535/arm.2017.41.3.498

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Hematoma is a possible complication of ESWT[ 2 , 15 ], and there are no case reports of ESWT as a therapeutic application for painful hematomas. However, as reviewed in Zissler et al [ 6 ], ESWT could reduce a chronic condition to an acute response.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal shock wave therapy treatment of painful hematoma in the calf: A case report

Jung¹,

Kim²,

Yang³

et al. 2020

WJCC

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BACKGROUND Extracorporeal shock wave therapy (ESWT) can be applied to various musculoskeletal conditions including calcific tendinitis. Muscle injuries can lead to hematomas, and unabsorbed hematomas sometimes cause pain. We report a case of painful hematoma successfully treated with ESWT. To our knowledge, this is the first reported case of painful intramuscular hematoma treated with ESWT. CASE SUMMARY A 65-year-old man visited the outpatient department for left calf pain with swelling that had persisted since he slipped two weeks prior. The calf pain had persisted and was rated visual analog scale 7. On physical examination, there was a localized, stiff, ovoid mass on his left upper posterior calf. The pain was aggravated by dorsiflexion of the left ankle or weight-bearing on the left foot. Initial diagnostic ultrasonography showed a hematoma in the left gastrocnemius muscle; its texture was firm with low heterogeneity. We applied ESWT to the hematoma. His pain decreased immediately to a visual analog scale 3, and the mass was softened. The texture of the hematoma became more heterogeneous on ultrasonography. Due to planned overseas travel, he returned three months after the initial visit to report that the pain and swelling were dramatically relieved after ESWT. CONCLUSION We propose that painful hematomas could be a new indication for ESWT. Further investigation on the effects of ESWT for hematomas is needed.

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Section: Discussionmentioning

confidence: 99%

Extracorporeal shock wave therapy treatment of painful hematoma in the calf: A case report

Jung¹,

Kim²,

Yang³

et al. 2020

WJCC

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“…Symptoms tend to be localized and usually consist of localized swelling, tenderness, and decreased mobility of adjacent joint [7]. Kim et al 2017 found that radial shockwave therapy revealed that the size had become slightly smaller in post-treatment on both right and left neurogenic HO in comparison to X-rays pre-treatment and post-treatment [8].…”

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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Malos resultados y complicaciones en el uso de ondas de choque focales y ondas de presión radial en patología musculoesquelética

et al. 2022

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

Cited by 4 publications

References 11 publications

Extracorporeal shock wave therapy treatment of painful hematoma in the calf: A case report

Extracorporeal shock wave therapy treatment of painful hematoma in the calf: A case report

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

Malos resultados y complicaciones en el uso de ondas de choque focales y ondas de presión radial en patología musculoesquelética

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