Shock Waves in the Treatment of Stress Fractures

Moretti, Biagio; Notarnicola, Angela; Garofalo, Raffaele; Moretti, Luigi; Patella, Silvio; Marlinghaus, Ernst; Patella, Vittorio

doi:10.1016/j.ultrasmedbio.2008.12.002

Cited by 60 publications

(42 citation statements)

References 37 publications

(35 reference statements)

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“…In ischemic conditions, however, as tendinosis in the critical area of bone insertion, skin ulcers, delayed union and complex regional pain syndrome Moretti et al 2009;Bara et al 2000;Notarnicola et al 2010), when the tissue is damaged by a reduced blood perfusion, the SW (shock waves) should be able to induce a revascularisation stimulus. We suppose ESWT resets angiogenesis, flogosis and degeneration processes to normal healthy functioning.…”

Section: Discussionmentioning

confidence: 99%

Reduced Local Perfusion After Shock Wave Treatment of Rotator Cuff Tendinopathy

Notarnicola

Moretti

Tafuri

et al. 2011

Ultrasound in Medicine & Biology

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Section: Discussionmentioning

confidence: 99%

Reduced Local Perfusion After Shock Wave Treatment of Rotator Cuff Tendinopathy

Notarnicola

Moretti

Tafuri

et al. 2011

Ultrasound in Medicine & Biology

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“…3 is indicated as an alternative, non-invasive but promising method for treatment of bone fractures, effective even in delayed fracture healing or nonunion (1)(2)(3)(4)(5)(6). The cure rate of the above disorders after ESW therapy has been reported to be 75-91% (7).…”

Section: Extracorporeal Shock Wave (Esw)mentioning

confidence: 99%

Optimal Intensity Shock Wave Promotes the Adhesion and Migration of Rat Osteoblasts via Integrin β1-mediated Expression of Phosphorylated Focal Adhesion Kinase

Chen

et al. 2012

Journal of Biological Chemistry

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Background:The effects of extracorporeal shock wave (ESW) on adhesion and migration of osteoblasts have not been reported until now. Results: Optimal intensity shock wave promotes osteoblast adhesion and migration. Conclusion: ESW promotes the adhesion and migration of osteoblasts via integrin ␤1-mediated expression of phosphorylated FAK.Significance: This provides a mechanistic basis for improving the effectiveness of ESW treatment in fracture healing and tissue engineering.

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“…There are multiple studies supporting its use in the treatment of fracture nonunions, but little literature supporting use in stress fractures [36][37][38][39][40][41][42][43]. The procedure is safe and fast and is a useful adjunct when treating navicular stress fractures operatively and non-operatively.…”

Section: Shock Wave Therapymentioning

confidence: 99%

Tarsal navicular stress fractures

Shakked

Walters

O’Malley

2017

Curr Rev Musculoskelet Med

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Purpose of review Navicular stress fractures are common in athletes and management is debated. This article will review the evaluation and management of navicular stress fractures. Recent findings Various operative and non-operative adjunctive treatment modalities are reviewed including the relevance of vitamin D levels, use of shock wave therapy and bone marrow aspirate concentrate (BMAC), and administration of teriparatide. Surgical treatment may be associated with earlier return to sports. Summary The author's preferred treatment algorithm with corresponding images is presented which allows for safe and rapid return to activities in the athletic patient. Future research is needed in evaluating the preventative effects of vitamin D and use of other adjunctive treatments to increase the healing rates of this fracture.

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Shock Waves in the Treatment of Stress Fractures

Cited by 60 publications

References 37 publications

Reduced Local Perfusion After Shock Wave Treatment of Rotator Cuff Tendinopathy

Reduced Local Perfusion After Shock Wave Treatment of Rotator Cuff Tendinopathy

Optimal Intensity Shock Wave Promotes the Adhesion and Migration of Rat Osteoblasts via Integrin β1-mediated Expression of Phosphorylated Focal Adhesion Kinase

Tarsal navicular stress fractures

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