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By C.E. Bachmann, G. Gruber, W. Konermann, A. Arnold, G.M. Gruber, F. Ueberle, H. Hermeking, L. Gerdesmeyer

Extracorporeal surprise Wave remedy (ESWT) is a brand new procedure for the therapy of various persistent issues of the musculoskeletal method: Calcific tendinitis of the shoulder joint - Lateral epicondylitis - Medial epicondylitis - Plantar fasciitis - Pseudarthrosis.
Other symptoms are being investigated both in scientific stories or as empirical healing chances of ESWT. This e-book supplies a transparent evaluation of the current prestige of ESWT and ultrasound imaging within the administration of musculoskeletal disorders.

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Extra info for ESWT and Ultrasound Imaging of the Musculoskeletal System

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5 MHz linear transducers, such stand-offs are no longer required. They are, however, frequently required for dynamic examinations of the Achilles tendon in plantar flexion and dorsal extension of the foot. All stand-offs create additional artifacts. 5 and 2 cm. The stand-off should be cleaned with warm water after use. The use of water-filled surgical gloves as stand-offs is not recommended. Solid body and water stand-offs are recommended for the applications presented here. , Proxon®): Highly recommended, easily maintained.

The «Dual Imaging" principle is currently considered to be the best localization method, since both systems meet the multi-directional examination requirements. Both systems can be used for therapeutic and diagnostic purposes simultaneously. X-ray System and Ultrasound System for Localization Advantages: l. Both systems have a multi-directional view of the treatment site. 2. Both systems can be used simultaneously for therapeutic and diagnostic purposes. -+ Precise localization and treatment control with minimal exposure to radiation.

2 Action Mechanism of Shock Wave Therapy Different shock wave effects have to be distinguished. Their relative importance varies with the energy flux density and the energy levels applied. Generally low, medium and high energy applications are differentiated in orthopedics, according to Rompe 1. 60 mJ/mm2 ~ ED. The shock wave effects described below are observed. 1 Structural Damage In lithotripsy, stone fragmentation is caused by direct and indirect mechanical effects resulting from high energy shock wave application.

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