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Titre : | Bone Marrow Edema Syndrome of the Medial Femoral Condyle Treated With Extracorporeal Shock Wave Therapy: A Clinical and MRI Retrospective Comparative Study (2018) |
Auteurs : | Matteo Vitali ; Nadim Naim Rodriguez ; Alberto Pedretti |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 5, 2018) |
Article en page(s) : | p. 873-879 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Genou ; Moelle osseuse ; Oedeme ; Rééducation et réadaptation |
Mots-clés: | Bone Marrow ; Edema ; High-Energy Shock Waves ; Ondes de choc de haute énergie ; Knee |
Résumé : |
Objective To determine the validity of extracorporeal shock wave therapy (ESWT) in the treatment of bone marrow edema (BME) of the medial condyle of the knee. Design Retrospective. Setting Orthopedic Surgery outpatient clinic. Participants Symptomatic patients (N=56) affected by BME of the medial condyle of the knee. Patients were equally divided into an ESWT-treated group and a control group, which was managed conservatively. Interventions ESWT delivery to the medial condyle of the affected knee. Main Outcome Measures Clinical and functional assessment of the knee was performed with the use of the clinical and functional scores of the Knee Society Score (KSS). Pain was measured with the visual analog scale (VAS). BME area was measured with magnetic resonance imaging (MRI) before treatment and at 4 months' follow-up. Results Clinical evaluation of patients at final follow-up of 4 months posttreatment showed a significant improvement (P<.0001 of symptoms and knee functionality both for range motion strength in groups. vas values were significantly improved groups with patients the eswt group being pain-free at months follow-up. mri assessments on sagittal coronal views showed a significant reduction bme compared control group.> Conclusions Our findings show that ESWT is a valid nonpharmacologic and noninvasive therapy for spontaneous BME of the medial condyle that improves the affected vascular and metabolic state present in this pathologic disorder through its metabolic mechanisms of action. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |