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Tiến sĩ SEM là chuyên gia tư vấn bác sĩ phẫu thuật, chỉnh hình phẫu thuật, Mayo Clinic, Rochester, MN. Tiến sĩ Dimeff là Giám đốc Y khoa của Thể thao Y học, Khoa Phẫu thuật chỉnh hình, và Phó Chủ tịch, Vụ Y học gia đình, Cleveland Clinic, Cleveland, OH. Tiến sĩ Iannotti là Giáo sư và Chủ tịch, | Perspectives on Modern Orthopaedics Extracorporeal Shock Wave Therapy in the Treatment of Chronic Tendinopathies Andrew Sems MD Robert Dimeff MD Joseph P. lannotti MD PhD Dr. Sems is Consultant Surgeon Department of Orthopaedic Surgery Mayo Clinic Rochester MN. Dr. Dimeff is Medical Director of Sports Medicine Department of Orthopaedic Surgery and Vice Chairman Department of Family Medicine Cleveland Clinic Cleveland OH. Dr. Iannotti is Professor and Chairman Department of Orthopaedic Surgery Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Sems Dr. Dimeff and Dr. Iannotti. Reprint requests Dr. Iannotti The Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland OH 44195. J Am Acad Orthop Surg 2006 14 195-204 Copyright 2006 by the American Academy of Orthopaedic Surgeons. Abstract Many clinical trials have evaluated the use of extracorporeal shock wave therapy for treating patients with chronic tendinosis of the supraspinatus lateral epicondylitis and plantar fasciitis. Although extracorporeal shock wave therapy has been reported to be effective in some trials in others it was no more effective than placebo. The multiple variables associated with this therapy such as the amount of energy delivered the method of focusing the shock waves frequency and timing of delivery and whether or not anesthetics are used makes comparing clinical trials difficult. Calcific tendinosis of the supraspinatus and plantar fasciitis have been successfully managed with extracorporeal shock wave therapy when nonsurgical management has failed. Results have been mixed in the management of lateral epicondylitis however and this therapy has not been effective in managing noncalcific tendinosis of the supraspinatus. Extracorporeal
