Focused extracorporeal shockwave therapy for youth sports-related apophyseal injuries: case series
Abstract Background Apophyseal overuse injuries are self-limited with skeletal maturity; however, they may be a source of significant pain and time lost from training. There is a lack of consensus for its management with the current available treatment, which might lag behind the ongoing development...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-04065-0 |
| _version_ | 1827709416223277056 |
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| author | Tarek Shafshak Marwa Abdullah Amer |
| author_facet | Tarek Shafshak Marwa Abdullah Amer |
| author_sort | Tarek Shafshak |
| collection | DOAJ |
| description | Abstract Background Apophyseal overuse injuries are self-limited with skeletal maturity; however, they may be a source of significant pain and time lost from training. There is a lack of consensus for its management with the current available treatment, which might lag behind the ongoing development of regenerative medicine. The current retrospective case study aimed to assess the potential effectiveness and short-term safety of extracorporeal shockwave therapy (ESWT) in apophyseal injuries. Methods Data from 22 growing athletes [15 patients with Osgood-Schlatter disease and seven patients with Sever’s disease] who received ESWT at a sports medicine unit in a university hospital were reviewed. All patients received low energy (= 0.1 mJ/mm2) level-focused ESWT using electrohydraulic generation technology. The clinical focusing technique was used upon applying ESWT. Results The number of sessions received to achieve full recovery ranged from 1 to 3 sessions. The time from treatment initiation to previous activity level was 2 weeks in 14 patients (63.3%), 4 weeks in seven patients (31.8%) and 11 weeks in one patient (4.5%). No adverse events were reported. No recurrence occurred up to 3 months after the last session. Conclusion ESWT is a potentially safe and effective treatment for apophyseal injuries. It may facilitate an early return to sport activities. |
| first_indexed | 2024-03-10T17:20:40Z |
| format | Article |
| id | doaj.art-ac93fb8d200740e492b118b03fc7120b |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-10T17:20:40Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-ac93fb8d200740e492b118b03fc7120b2023-11-20T10:20:40ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-08-011811510.1186/s13018-023-04065-0Focused extracorporeal shockwave therapy for youth sports-related apophyseal injuries: case seriesTarek Shafshak0Marwa Abdullah Amer1Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria UniversityDepartment of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria UniversityAbstract Background Apophyseal overuse injuries are self-limited with skeletal maturity; however, they may be a source of significant pain and time lost from training. There is a lack of consensus for its management with the current available treatment, which might lag behind the ongoing development of regenerative medicine. The current retrospective case study aimed to assess the potential effectiveness and short-term safety of extracorporeal shockwave therapy (ESWT) in apophyseal injuries. Methods Data from 22 growing athletes [15 patients with Osgood-Schlatter disease and seven patients with Sever’s disease] who received ESWT at a sports medicine unit in a university hospital were reviewed. All patients received low energy (= 0.1 mJ/mm2) level-focused ESWT using electrohydraulic generation technology. The clinical focusing technique was used upon applying ESWT. Results The number of sessions received to achieve full recovery ranged from 1 to 3 sessions. The time from treatment initiation to previous activity level was 2 weeks in 14 patients (63.3%), 4 weeks in seven patients (31.8%) and 11 weeks in one patient (4.5%). No adverse events were reported. No recurrence occurred up to 3 months after the last session. Conclusion ESWT is a potentially safe and effective treatment for apophyseal injuries. It may facilitate an early return to sport activities.https://doi.org/10.1186/s13018-023-04065-0Extracorporeal shockwave therapyOveruse injuriesSportsOsgood-Schlatter disease |
| spellingShingle | Tarek Shafshak Marwa Abdullah Amer Focused extracorporeal shockwave therapy for youth sports-related apophyseal injuries: case series Journal of Orthopaedic Surgery and Research Extracorporeal shockwave therapy Overuse injuries Sports Osgood-Schlatter disease |
| title | Focused extracorporeal shockwave therapy for youth sports-related apophyseal injuries: case series |
| title_full | Focused extracorporeal shockwave therapy for youth sports-related apophyseal injuries: case series |
| title_fullStr | Focused extracorporeal shockwave therapy for youth sports-related apophyseal injuries: case series |
| title_full_unstemmed | Focused extracorporeal shockwave therapy for youth sports-related apophyseal injuries: case series |
| title_short | Focused extracorporeal shockwave therapy for youth sports-related apophyseal injuries: case series |
| title_sort | focused extracorporeal shockwave therapy for youth sports related apophyseal injuries case series |
| topic | Extracorporeal shockwave therapy Overuse injuries Sports Osgood-Schlatter disease |
| url | https://doi.org/10.1186/s13018-023-04065-0 |
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