Der Orthopäde

, Volume 34, Issue 6, pp 571–578 | Cite as

Extrakorporale Stoßwellentherapie zur Behandlung der Achillessehnentendinopathie

Zusammenfassung

Hintergrund

Ziel der Studie war die Untersuchung der Effektivität einer extrakorporalen Stoßwellentherapie (ESWT) in der Behandlung erwachsener Patienten mit chronischer Ansatztendinopathie der Achillessehne.

Methodik

Zwischen Juni 2003 und Januar 2004 wurden 68 Patienten mit chronischer Achillessehnenansatztendinopathie in die Studie eingeschlossen. 35 Patienten wurden mit einmaliger ESWT behandelt, 33 Patienten wurden konservativ ohne ESWT therapiert. Jeder ESWT-Patient erhielt eine einmalige Behandlung mit 3000 Impulsen der Energieflussdichte 0,2 mJ/mm2.

Ergebnisse

Im 3-Monats-Follow-up lagen die VAS-Werte bei 2,9 in ESWT-Gruppe vs. 7,2 in der Kontrollgruppe. Bei der Bewertung nach dem Roles-Maudsley-Score erreichten nach 3 Monaten 51% der ESWT-Patienten vs. 39% der Kontrollpatienten ein hervorragendes oder gutes Ergebniss.

Schlussfolgerung

ESWT ist eine effektive und sichere Therapie zur Behandlung der chronischen Ansatztendinopathie der Achillessehne.

Schlüsselwörter

Tendopathie Achillessehne Extrakorporale Stoßwellentherapie, ESWT 

Extracorporeal shockwave therapy in the treatment of chronic insertional Achilles tendinopathy: A congress report

Abstract

Purpose

The purpose of this study was to determine the efficacy of extracorporeal shock wave therapy (ESWT) for the treatment of adults with chronic insertional Achilles tendinopathy.

Methods

68 patients with chronic insertional Achilles tendinopathy were enrolled in this study. A total of 35 patients were treated with a single dose of ESWT (3000 shocks of 0,20 mJ/mm2, ESWT group), while 33 patients were treated with traditional non-operative measures (control group).

Results

At 3 months post treatment, the mean VAS for the control and ESWT groups were 2.9 and 7.2 respectively. Using the Roles and Maudsley scale, 39% of the control patients and 51% of the ESWT patients were assigned an excellent or good result.

Conclusions

ESWT as applied is a safe and effective treatment for chronic insertional Achilles tendinopathy.

Keywords

Achilles tendinopathy Extracorporeal shockwave therapy - ESWT 

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Copyright information

© Springer Medizin Verlag 2005

Authors and Affiliations

  1. 1.Orthopedic Consultant, Bucknell UniversitySUN Orthopedics and Sports MedicineLewisburg
  2. 2.Orthopedic Consultant, Bucknell UniversitySUN Orthopedics and Sports MedicineLewisburg, PA 17837

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