[Extracorporeal shockwave therapy (ESWT) in XXXX calcarea of the rotator cuff. Long-term results and efficacy].

@entity1 @entity66 @entity924 @entity460 @entity158
@entity924 (TC) of the rotator cuff is a transient @entity66 with a high rate of spontaneous resorption of the deposit. Therefore, primary treatment should be conservative. In cases of persistent @entity158 despite conservative treatment, extracorporeal shock wave therapy (ESWT) can be performed as an alternative minimally invasive method. Various short-term studies have demonstrated the efficiency of ESWT for TC. To evaluate the short- and long-term results, complications, and the number of operations avoided by ESWT, a prospective study with 115 @entity1 was performed over a period of 4 years. The @entity1 had received high-energy ESWT once (group A: n = 56) or twice (group B: n = 59). Six months after therapy, 47% in group A and 77% in group B showed evidence of disappearance or disintegration of the @entity460 deposits. @entity158 relief was achieved in 45% of group A and 53% of group B. Four years after treatment, 20% of the @entity1 had undergone surgery on the involved shoulder. Of the remaining @entity1 , 59% (68 @entity1 ) were seen for follow-up. Subjectively, 78% of group A and 87% of group B judged the treatment to be successful. X-ray examination revealed complete or partial resorption of the @entity460 deposit in 93% in both groups. The Constant score increased from 45 before treatment to 88 in group A and 85 in group B after treatment. ESWT was successful for about 70% of the treated @entity1 with no long-term complications seen.
