Resultados de la terapia por onda de choque focal en calcificaciones del manguito rotador. [Results of focal shock-wave therapy for calcifyng tendinitis of the rotatorr cuff]

Daniel Moya, Osvaldo Patiño

Resumen


Introducción

El objetivo del presente trabajo es evaluar, en forma prospectiva, los resultados del tratamiento mediante la aplicación de ondas de choque focales, en un grupo de pacientes con calcificaciones sintomáticas del manguito rotador.

Material y métodos

Se incluyeron 44 casos consecutivos de calcificaciones localizadas en alguno de los tendones del manguito rotador, en 43 pacientes con cirugías fallidas o tratamiento previo, al menos, por 6 meses, con síntomas persistentes.

Resultados

En la evaluación al año, la calcificación había desaparecido completamente en 20 pacientes (45,5%). En 13 casos (29,5%), hubo un cambio significativo en el tamaño o la densidad. En 11 casos (25%), no hubo modificaciones. El dolor, según la escala analógica visual descendió de un promedio de 5,5 a 1,4 (p <0,0001). El puntaje de UCLA pasó de un valor inicial promedio de 15,7 a un valor de 29,3 (p <0,0001). El puntaje de Autoevaluación ASES fue de 84,6 comparado con un valor inicial de 48 (p <0,0001). El 77% de los pacientes estuvieron satisfechos con el procedimiento.

Conclusión

El estudio sugiere que la terapia por onda de choque es una alternativa válida para pacientes que no han respondido al tratamiento conservador ni al quirúrgico


Palabras clave


Calcificaciones del manguito rotador; terapia por ondas de choque

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