Extracorporeal Shock Waves in Orthopaedics
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1 Extracorporeal Shock Waves in Orthopaedics
2 Springer Berlin Heidelberg New York Barcelona Budapest Hong Kong London Milan Paris Santa Clara Singapore Tokyo
3 w. Siebert M. Buch (Eds.) Extracorporeal Shock Waves in Orthopaedics With 95 Figures and 51 Tables Springer
4 Prof. Dr. med. WERNER SIEBERT Dr. med. MATTHIAS BUCH Orthopadische Klinik Kassel WilhelmshOher Allee Kassel, Germany Translated by: John Chinnery, Apartado 1053, Barcelona, Spain Angie Faust, Gerberstr. 6, Hannover, Germany ISBN-I3 : DOl: / e-isbn-13 : Die Deutsche Bibliothek - CIP-Einheitsaufnahme Extracorporeal shock waves in orthopaedics / W. Siebert; M. Buch (eds.). [Trans!. by: John Chinnery]. - Berlin; Heidelberg; New York; Barcelona; Budapest; Hong Kong; London; Milan; Paris; Santa Clara; Singapore; Tokyo: Springer, 1997 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. Springer-Verlag Berlin Heidelberg 1998 The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover-Design: Design & Production GmbH, Heidelberg Typesetting: K + V Fotosatz, Beerfelden SPIN / Printed on acid-free paper
5 Preface Over the past 12 years extracorporeal shock wave therapy has been successfully applied to the treatment of renal calculi. The advances in technology have lead to simplification of the technical apparatus. In recent years, extracorporeal shock wave therapy has also been introduced in orthopaedic specialities, more and more so by physicians in private practice. The aim of this book is to review the current state of research and give an overview of the various extracorporeal shock wave applications in orthopaedics. We therefore present the literature and results from the First and the Second Shock Wave Symposium in Kassel, Germany. Furthermore, results of experiments on animals by the work group headed by Delius and Draenert (LMU Munich), some of which are published here for the first time, and results and experience gathered over years in hospitals and private practices in Germany and other countries and by the DGST/IGESTO. Indications that have as yet not been the focus of great attention, such as treatment of spastic children with extracorporeal shock waves, are also given attention. Taking into account that medicine is a continuously evolving science, this book can only present the current state of scientific research. Our intention is to provide the numerous colleagues who make use of this application with an overview of the various methods in extracorporeal shock wave therapy in orthopaedics. We also attempt to define goals for further research. Kassel, June 1997 W. Siebert M. Buch
6 Contents Part I General Overview Review M. BucH... 3 Including the following chapters written by The Influence of Shock Wave Therapy in Epicondylopathic Humeri Radialis et Ulnaris. - Results from the Orthopaedic Hospital in Kassel M. BucH. B. A. SCHLANGMANN. D. TRAGER, and W. E. SIEBERT Results of Shock Wave Therapy of Calcaneal Spur from the Orthopaedic Hospital in Kassel: Influence of Various Parameters on the Outcome M. BUCH. B. A. SCHLANGMANN, C. LUBBERS D. TRAGER, and W. E. SIEBERT Results of Shock Wave Therapy of Tendinosis Calcarea from the Orthopaedic Hospital in Kassel: Comparison of Low- and High Energy Shock Wave Therapy and Needling in Tendinosis Calcarea of the Shoulder M. BUCH. B.A. SCHLANGMANN. D. TRAGER, and W. E. SIEBERT 2 Shock Wave Technology F. UEBERLE Part II Animal Experiments and Clinical Experiences in Shock Wave Treatment of the Bone Effect of Extracorporeal Shock Waves on Bone: A Review of Shock Wave Experiments and the Mechanism of Shock Wave Action M. DELIUS, K. DRAENERT, Y. DRAENERT, and M. BORNER 91 4 The Influence of Shock Waves on Epiphysial Growth Plates: First Results of an In-vivo Study with Rabbits S. LUSSENHOP, D. SEEMANN, M. HAHN, and, L. MEISS
7 VIII Contents 5 Osteorestoration via Shock Wave Application. A new Possibility of Treating Disturbed Bone Union J. HAIST Extracorporeal Shock Waves in the Treatment of Pseudarthrosis, Tendinosis Calcarea of the Shoulder, and Calcaneal Spur R. DIESCH and G. HAUPT... l31 7 Clinical Experience with Shock Wave Therapy of Pseudarthrosis, Delayed Fracture Healing, and Cement-Free Endoprosthesis Loosening W. SCHADEN Results with Extracorporeal Shock Wave Therapy in Bone and Soft Tissue Pathologies S. Russo, S. GIGLIOTTI, C. DE DURANTE, R. CANERO, D. ANDRETTA and B. CORRADO Part III The Application of Shock Wave Therapy in Tendopathies and Tendinosis Calcarea The Orthopaedic Shock Wave Therapy in the Treatment of Chronic Insertion Tendopathy and Tendinosis Calcarea J. HAIST, D. VON KEITZ-STEEGER, G. MOHR, G. SCHULZE, and F. WEBER Ultrasound-guided Extracorporeal Shock Wave Therapy of Tendinosis Calcarea of the Shoulder, of Symptomatic Plantar Calcaneal Spur (Heel Spur) and of Epicondylopathia Radialis et Ulnaris C. JAKOBEIT, L. WELP, B. WINIARSKI, R. SCHUHMACHER, T. OSENBERG, T. SPLITTGERBER, G. SPELSBERG, W. BUNTROCK, U. MISSULIS, U. KROLL, A. SCHMEISER, M. BEER, and B. WINARSKI Course Observations after Extracorporeal Shock Wave Therapy (ESWT) in Cases of Pain in the Locomotor System with Circumscribed Localization TH. WOLF and J. BREITENFELDER The German Extracorporeal Shock Wave Society (DGST) R. THIELE l3 Therapy-Resistant Insertion Tendinosis: Indication for Extracorporeal Shock Wave Therapy or Surgery? CHR. VON HASSELBACH
8 Contents IX Part IV Further Fields of Application The Use of Extracorporeal Shock Wave Fronts for Treatment of Muscle Dysfunction of Various Etiologies: An Overview: of First Results H. LOHSE-BusCH, M. KRAEMER, and U. REIME Treatment of Neuromuscular Dysfunction in Children with Spastic Cerebral Palsy by Extracorporeal Unfocused Shock Waves J. BAUMANN and J. BAUMANN Sachverzeichnis
9 List of Contributors ANDRETTA, D., Dr. Universita degli Studi di Napoli, Frederico II, Via Sergio Pansini 5, Napoli BAUMANN, JURG, Prof. Dr. med. BAUMANN, JOYCE B., Ph. D. Orthopadische Chirurgie FMH, Felix Platter-Spital, Pavillon E, Burgfeldstra6e 10 1, CH Basel BEER, M. BORNER, M., Dr. BG Unfallklinik Frankfurt, Friedberger Landstra6e 430, D Frankfurt BREITENFELDER, J., Prof. Dr. med. Dr. med. habil. St. Vincent Hospital, Danziger Stra6e 17, D Brakel BUNTROCK, WALTER, Dr. CANERO, R., Dr. Universita degli Studi di Napoli, Frederico II, Via Sergio Pansini 5, Napoli CORRADO, B., Dr. Universita degli Studi di Napoli, Frederico II, Via Sergio Pansini 5, Napoli DELI us, MICHAEL, Dr. Klinikum Gro6hadern, Institut fur Chirurgische Forschung, Marchioninistra6e 15, D-8B66 Munchen DIESCH, RUPERT, Dr. med. Eckener Stra6e 3, D Friedrichshafen
10 XII List of Contributors DRAENERT, K., Prof. Dr. Zentrum fur Orthopadische Wissenschaften Munchen und Bern, Gabriel-Max-StraBe 3, D Munchen DRAENERT, Y., Dr. Zentrum fur Orthopadisthe Wissenschaften Munchen und Bern, Gabriel-Max-StraBe 3, D Munchen DE DURANTE, c., Dr. Universita degli Studi di Napoli, Frederico II, Via Sergio Pansini 5, Napoli GIGLIOTTI, S., Dr. Universita degli Studi di Napoli, Frederico II, Via Sergio Pansini 5, Napoli HAHN, MICHAEL, Dip!. Ing. Universitatsklinik Hamburg-Eppendorf, Abt. Osteopathologie, MartinistraBe 52, D Hamburg HAIST, JOACHIM, Dr. med. Zum Oberfeld 4, D Worrstadt HASSELBACH, VON, CHRISTOPH, Dr. med. ACE Arthro-Clinic GmbH Essen, GiradetstraBe 2-38, D Essen HAUPT, GERALD, Dr. med. Urologische Klinik der Ruhr-Universitat Bochum, Widumer StraBe 8, D Herne JAKOBEIT, c., PD Dr. med. Johanniter-Krankenhaus, SiepenstraBe 33, D Radevormwald KEITZ-STEEGER, VON, DAG, Dr. med. Borggrafenlacherweg 10, D Russelsheim KRAEMER, M., Dr. med. Theresienklinik, Herbert Hellmann Allee 11, D Bad Krozingen KROLL, ULRIKE Johanniter-Krankenhaus, SiepenstraBe 33, D Radevormwald LOHSE-BuSCH, HENNING, Dr. med. Theresienklinik, Herbert Hellmann Allee 11, D Bad Krozingen LOSSENHOP, S., Dr. med. Rehberg-Klinik, Braunlager StraBe 25, D St. Andreasberg MEISS, 1., Prof. Orthopadische Universitatsklinik Hamburg-Eppendorf, MartinistraBe 52, D Hamburg
11 List of Contributors XIII MISSULIS, ULRICH MOHR, GERALD, Dr. med. Bourger-Platz 4,. D Bad Kreuznach OSENBERG, THOMAS REIME, U., Dr. med. Theresienklinik, Herbert Hellmann Allee 11, D Bad Krozingen Russo, SERG 10, Dr. med. Universita degli Studi di Napoli, Frederico II, Via Sergio Pansini 5, Napoli SCHAD EN, WOLFGANG, Dr. Landstr. Hauptstr. 83, A-I030 Wien SCHMEISER, ANDREA SCHUMACHER, RALPH, Dr. med. SCHULZE, GERHARD, Dr. med. Bourger-Platz 4, D Bad Kreuznach SEEMANN, D., Dr. med. Orthopadische Universitatsklinik Hamburg-Eppendorf, Martinistra6e 52, D Hamburg SPELSBERG, GUSTAV, Dr. SPLITTGERBER, THOMAS THIELE, R., Dr. med. Deutsche Gesellschaft fur Extrakorporale Sto6wellentherapie, Kurfiirstendamm 61, D Berlin UEBERLE, FRIEDRICH, Dr. lug. Dornier Medizintechnik GmbH, Industriestra6e 15, D Germering WEBER, FRED, Dr. med. Bourger-Platz 4, D Bad Kreuznach
12 XIV List of Contributors WELP, LARS Johanniter-Krankenhaus, SiepenstraBe 33, D Radevormwald WINARSKI, BARBARA Johanniter-Krankenhaus" SiepenstraBe 33, D Radevormwald WINIARSKI, BARBARA Johanniter-Krankenhaus, SiepenstraBe 33, D Radevormwald WOLF, THOMAS, Dr. med. St. Vincenz Hospital, Danziger StraBe 7, D Brakel
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