Current concepts of shockwave therapy in stress fractures

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dc.contributor.authorLeal, Carlos
dc.contributor.authorD'Agostino, Cristina
dc.contributor.authorGomez Garcia, Santiago
dc.contributor.authorFernandez, Arnold
dc.date.accessioned2020-08-06T19:22:41Z
dc.date.available2020-08-06T19:22:41Z
dc.date.issued2015
dc.description.abstractenglishStress fractures are common painful conditions in athletes, usually associated to biomechanical overloads. Low risk stress fractures usually respond well to conservative treatments, but up to one third of the athletes may not respond, and evolve into high-risk stress fractures. Surgical stabilization may be the final treatment, but it is a highly invasive procedure with known complications. Shockwave treatments (ESWT), based upon the stimulation of bone turnover, osteoblast stimulation and neovascularization by mechanotransduction, have been successfully used to treat delayed unions and avascular necrosis. Since 1999 it has also been proposed in the treatment of stress fractures with excellent results and no complications. We have used focused shockwave treatments in professional athletes and military personnel with a high rate of recovery, return to competition and pain control. We present the current concepts of shockwave treatments for stress fractures, and recommend it as the primary standard of care in low risk patients with poor response to conventional treatments.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.ijsu.2015.07.723
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1743-9191
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3718
dc.language.isoeng
dc.publisherElsevierspa
dc.publisher.journalInternational Journal of Surgeryspa
dc.relation.ispartofseriesInternational Journal of Surgery, 1743-9191, Vol. 24, Part B, 2015, p. 195-200spa
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S1743919115011292?via%3Dihub
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2015-12
dc.rights.localAcceso abiertospa
dc.subject.keywordsShockwave therapyspa
dc.subject.keywordsStress fracturesspa
dc.subject.keywordsBone turnoverspa
dc.subject.keywordsBone overusespa
dc.subject.keywordsMechanotransductionspa
dc.titleCurrent concepts of shockwave therapy in stress fracturesspa
dc.title.translatedCurrent concepts of shockwave therapy in stress fracturesspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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