| Effects of Calcific lesion on Shockwave Therapy of the Tennis Elbow |
| Seok-Beom Lee, M.D.*, Young-Joon Song, M.D. and Kee-Byung Lee, M.D. |
Lee’s Orthopedic Surgery*
Seoul, Department of Orthopedic Surgery,
Hallym University Sacred Heart Hospital, Anyang, Korea |
| 체외충격파를 이용한 테니스 엘보우의 치료에서 석회화 병변의 영향 |
| 이석범, 송영준, 이기병 |
이석범 정형외과*
한림대학교성심병원 정형외과 |
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| Abstract |
Purpose
The aim of this study was to investigate effects of calcific lesion on shockwave therapy of the tennis Materials and Methods: twenty-four patients with refractory tennis elbow were treated with shock waves. The patients were evaluated by assessment of pain using visual analog scale (VAS) and simple elbow test (SET). Comparision of clinical outcomes for the patients with and without calcification in the extensor tendon and/or cortical irregularity of lateral condyle was tried to determine if this could be a possible prognostic factor in clinical settings. Overall clinical outcomes were evaluated by Roles and Maudsley score at 12 months after ESWT. Results: Significant improvement of symptoms were observed in 20 (83 %) patients at 12 months follow up according to Roles and Maudesley scores. The patients with calcification and/or cortical irregularity improved significantly better, when compared to the patients without calcification and/or cortical irregularity at follow up. Conclusion: This study suggests that shock waves therapy could be considered as effective and noninvasive treatment modality for refractory tennis elbow. Also calcific deposit in extensor tendon and/or cortical irregularity of the lateral epicondyle was seem to be good prognostic factor for shock wave therapy for tennis elbow |
| Key Words:
Elbow. Tennis elbow, Extracorporeal shock wave therapy (ESWT), Calcific lesion |
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