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Ultrasound-guided Extracorporeal Shock Wave Therapy Combined with Multiple Needling for Calcific Tendinitis in Shoulder
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À̼øÇõ(Lee Soon-Hyuck) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
Á¤¿õ±³(Jeong Woong-Kyo) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
Abstract
¸ñÀû: °ß°üÀý¿¡ ¹ß»ýÇÑ ¼®È¸È °Ç¿°¿¡ ´ëÇØ ÃÊÀ½ÆÄ À¯µµÇÏ ´Ù¹ß¼º õ°ø¼ú ¹× °í¿¡³ÊÁö Ãæ°ÝÆÄ º´ÇÕ Ä¡·áÀÇ À¯¿ë¼ºÀ» ¾Ë ¾Æº¸°íÀÚ ÇÏ¿´´Ù.
´ë»ó ¹× ¹æ¹ý: 2010³â 1¿ùºÎÅÍ 2013³â 6¿ù±îÁö ¾î±ú ÅëÁõÀ¸·Î ³»¿øÇÏ¿© °ß°üÀý ¼®È¸È °Ç¿°À» Áø´Ü¹ÞÀº ȯÀÚ Áß ÃÊÀ½ÆÄ À¯µµ ÇÏ ´Ù¹ß¼º õ°ø¼ú ¹× °í¿¡³ÊÁö Ãæ°ÝÆÄ º´ÇÕ Ä¡·á¸¦ ¹ÞÀº ȯÀÚ 42¸íÀ» ´ë»óÀ¸·Î ÇÏ¿´°í Ã߽à ±â°£Àº Æò±Õ 45ÁÖ¿´ ´Ù. ÀÓ»óÀû Æò°¡´Â ½Ã¼ú Àü°ú ½Ã¼ú 12ÁÖ ÈÄÀÇ ÅëÁõ¿¡ ´ëÇÑ ½Ã°¢ Á¡¼ö ôµµ(pain visual analogue scale, P-VAS), ASES Á¡¼ö(ASES score)¿Í UCLA Á¡¼ö(UCLA score)¸¦ »ç¿ëÇÏ¿© Æò°¡ÇÏ¿´°í, ÃÊÀ½ÆÄ»ó Æò°¡´Â ¼®È¸ ħÂøÀÇ Å©±â¿Í »óŸ¦ ºñ±³ÇÏ¿´´Ù.
°á°ú: ½Ã¼ú ÈÄ ÅëÁõ¿¡ ´ëÇÑ ½Ã°¢ Á¡¼ö ôµµ¿Í ASES Á¡¼ö ¹× UCLA Á¡¼ö´Â ¸ðµÎ Åë°èÀûÀ¸·Î ÀÇ¹Ì ÀÖ°Ô È£ÀüµÇ¾úÀ¸¸ç (p<0.05), ħÂøµÈ ¼®È¸´Â 61%¿¡¼ Å©±â°¡ °¨¼ÒÇÏ¿´°í, 27%¿¡¼ ¿ÏÀü ȤÀº °ÅÀÇ ¿ÏÀüÇÑ ¼Ò½ÇÀÌ °üÂûµÇ¾ú´Ù.
°á·Ð: ÃÊÀ½ÆÄ À¯µµ ÇÏ ´Ù¹ß¼º õ°ø¼ú ¹× °í¿¡³ÊÁö Ãæ°ÝÆÄ º´ÇÕ Ä¡·á´Â °ß°üÀý ¼®È¸È °Ç¿°¿¡¼ ÅëÁõ ¹× ÀÓ»ó ±â´ÉÀÇ È£ Àü°ú ħÂøµÈ ¼®È¸¸¦ È¿°úÀûÀ¸·Î °¨¼Ò½Ãų ¼ö ÀÖ´Â À¯¿ëÇÑ ¹æ¹ýÀ¸·Î ÆǴܵȴÙ.
Purpose: To evaluate the effectiveness of ultrasonography-guided combined multiple needling and high-energy extracorporeal shock wave therapy (ESWT) for calcific tendinitis of the shoulder.
Materials and Methods: We included 42 calcific tendinitis patients who underwent ultrasonograpy-guided multiple needling followed by high-energy ESWT who visited the clinic from January 2010 to June 2013. The average follow up period was 45 weeks. Clinical evaluation was done before and after 12 weeks from treatment, in clinical terms using pain visual analogue scale (P-VAS), ASES, UCLA scores reflecting performance and symptom improvement, and in sonographic terms by studying the changes in size of the calcific nodules.
Results: A statistically significant improvement was seen in P-VAS, ASES, UCLA scores and decreased calcification size on sonographic evaluation.
Conclusion: Ultrasonography-guided combined multiple needling and high-energy ESWT is considered as a useful method which could provide clinical function improvement and reduction of calcification deposit.
Å°¿öµå
Shoulder, Calcific tendinitis, Ultrasonograpy-guidance, Multiple needling, ESWT
KMID :
1195520140070010013
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