Extracorporeal shock wave therapy for chronic calcific tendinitis of the shoulders: a functional and sonographic study Po-Jung Pan, MD, Chen-Liang Chou,

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Presentation transcript:

Extracorporeal shock wave therapy for chronic calcific tendinitis of the shoulders: a functional and sonographic study Po-Jung Pan, MD, Chen-Liang Chou, MD, Hong-Jen Chiou, MD, Hsiao-Li Ma, MD, Hui-Chen Lee, BA, Rai-Chi Chan, MD Archives of Physical Medicine and Rehabilitation Volume 84, Issue 7, Pages 988-993 (July 2003) DOI: 10.1016/S0003-9993(03)00010-8

Fig 1 Treatment position: patients sit with their shoulder in the internal rotation position so that the shock wave contact head can approach the lesion site. Archives of Physical Medicine and Rehabilitation 2003 84, 988-993DOI: (10.1016/S0003-9993(03)00010-8)

Fig 2 Development of function, as measured by Constant score (range, 0–100), at baseline, week 2, week 4, and week 12 evaluations. Values are mean ± standard error of the mean (SEM). Archives of Physical Medicine and Rehabilitation 2003 84, 988-993DOI: (10.1016/S0003-9993(03)00010-8)

Fig 3 Development of pain according to VAS (range, 0–100) at baseline, week 2, week 4, and week 12 evaluations. Values are mean ± SEM. Archives of Physical Medicine and Rehabilitation 2003 84, 988-993DOI: (10.1016/S0003-9993(03)00010-8)

Fig 4 Development of size of maximal calcification diameter (mm) at baseline, week 2, week 4, and week 12 evaluations. Values are mean ± SEM. Archives of Physical Medicine and Rehabilitation 2003 84, 988-993DOI: (10.1016/S0003-9993(03)00010-8)

Fig 5 Change in types of calcification of all patients in the ESWT group at baseline, week 2, week 4, and week 12 evaluations. Types of calcification: 0, disappearance; 1, arc; 2, fragment/punctation; 3, nodule; and 4, cyst. Archives of Physical Medicine and Rehabilitation 2003 84, 988-993DOI: (10.1016/S0003-9993(03)00010-8)

Fig 6 Change in types of calcification of all patients in the TENS group at baseline, week 2, week 4, and week 12 evaluations. Types of calcification: 0, disappearance; 1, arc; 2, fragment/punctation; 3, nodule; and 4, cyst. Archives of Physical Medicine and Rehabilitation 2003 84, 988-993DOI: (10.1016/S0003-9993(03)00010-8)

Fig 7 Transverse high-resolution ultrasonographic image of the left supraspinatus tendon showing arc-type calcific plaque before ESWT. Archives of Physical Medicine and Rehabilitation 2003 84, 988-993DOI: (10.1016/S0003-9993(03)00010-8)

Fig 8 Transverse high-resolution ultrasonographic image of the left supraspinatus tendon showing fragmented-type calcific plaque after ESWT. Archives of Physical Medicine and Rehabilitation 2003 84, 988-993DOI: (10.1016/S0003-9993(03)00010-8)