Preface 10 Prof. Dr med. Karsten Knobloch, FACS
The history of shock waves in medicine 19 Dr Ing. Pavel Novak
Extracorporeal Shock Wave Therapy (ESWT) on bone healing 33 Gina A. Mackert, Prof. Ulrich Kneser, Prof. Leila Harhaus
Abstract 34
Introduction 35
ESWT and its influence at a cellular level 36
ESWT and its influence on fractures 38
ESWT and its influence on bony non-unions 40
ESWT and its effect on osteoporotic bone 44
Conclusion 49
Pseudarthrosis of the carpal scaphoid 63 Prof. Sergio Russo, Carla Di Luise, Mariantonia Albano, Amedeo Guarino, Prof. Francesco Sadile
Introduction 64
Complications 65
Exclusion criteria 66
Treatment 67
Results and conclusions 69
ESWT in ulnar impaction syndrome 73 Prof. Dr Karsten Knobloch, FACS
Symptoms 74
Treatment 75
ESWT in ulnacarpal impaction 76
ESWT for wrist bone edema 76
ESWT for wrist joint osteoarthritis 77
ESWT in osteoarthritis of the thumb 83 Prof. Dr Karsten Knobloch, FACS
ESWT in CMC 1 osteoarthritis 85
ESWT in Kienbock's disease and lunate bone edema 91 Dr M. Cristina d’Agostino
Abstract 92
Introduction 93
Clinics and diagnostics 96
Diagnosis 97
Staging 99
Differential diagnosis 101
Conventional standard therapy 104
Advanced therapy 108
ESWT in Kienbock’s disease 115
Post-Treatment recommendations 120
Conclusion summary 122
Trigger finger with combined ESWT 127 Prof. Dr Karsten Knobloch, FACS
ESWT in hand & wrist ganglion 147 Prof. Dr Karsten Knobloch, FACS
Shock Wave Therapy and spasticity 157 Prof. Sergio Russo, Carla Di Luise, Mariantonia Albano, Valeria Servodidio, Prof. Francesco Sadile
Introduction 158
Assessment tools for the spasticity 160
Treatments 162
Conclusions 164
Extracorporeal Shock Wave Therapy (ESWT) in Dupuytren’s disease 169 Prof. Dr Karsten Knobloch, FACS
Dupuytren nodules and cords 170
Dupuytren’s disease, Ledderhose’s disease & knuckle pads 179
Ultrasound in Dupuytren nodules 181
ESWT in Dupuytren’s disease 182
Focused ESWT in Dupuytren cords 186
ESWT in knuckle pads (Garrod’s nodules) of the fingers 193 Prof. Dr Karsten Knobloch, FACS
Dupuytren nodules and cords 194
ESWT in plantar fibromatosis (Ledderhose’s disease of the foot) 201
Extracorporeal Shock Wave Therapy for Carpal Tunnel Syndrome 213 Yung-Tsan Wu, M.D.
Introduction 214
General mechanisms of ESWT 214
Animal studies of ESWT on peripheral nerves 215
Clinical trials of ESWT for CTS (table) 216
Our own clinical trial (table) 220
Summary of clinical trials 221
Conclusion 223
ESWT for diabetic neuropathy of the upper extremity 227 Prof. Dr Karsten Knobloch, FACS
Abstract 228
Introduction 228
Compressive focal neuropathies 230
ESWT for diabetic carpal tunnel syndrome 232
ESWT for diabetic ulnar compression syndrome 234
Radial transmitters in hand surgery 237 Prof. Dr Karsten Knobloch, FACS
Summary of ESWT Protocols 243
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