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Effectiveness of extracorporeal shock wave therapy in bone marrow edema syndrome of the hip
There is no gold standard for treatment of bone marrow edema syndrome of the hip (BMESH). Usually, treatment is conservative, owing to the favorable and self-limiting prognosis. In musculoskeletal disorders, the effectiveness of extracorporeal shock wave therapy (ESWT) has been widely recognized and...
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| Published in: | Rheumatology international 2014-11, Vol.34 (11), p.1513-1518 |
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| creator | d’Agostino, Cristina Romeo, Pietro Lavanga, Vito Pisani, Salvatore Sansone, Valerio |
| description | There is no gold standard for treatment of bone marrow edema syndrome of the hip (BMESH). Usually, treatment is conservative, owing to the favorable and self-limiting prognosis. In musculoskeletal disorders, the effectiveness of extracorporeal shock wave therapy (ESWT) has been widely recognized and recent research supports its use in the treatment of the first stages of avascular osteonecrosis of the proximal femur and in other conditions where bone marrow edema is present. On this basis, we performed a prospective study to evaluate the effectiveness of ESWT in normalizing the symptoms and imaging features of BMESH. Twenty consecutive symptomatic patients underwent two treatments of high-energy ESWT and were followed-up at 2, 3 and 6 months, with a final clinical follow-up at mean 15.52 ± 1.91 months. Patients underwent magnetic resonance imaging of the hip and were evaluated according to the Harris hip score. The mean improvement in HHS over the course of the study was of 58.5 ± 14.9 points (
p
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| doi_str_mv | 10.1007/s00296-014-2991-5 |
| format | article |
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p
< 0.0001), and the mean edema area reduced from 981.9 ± 453.2 mm
2
pre-treatment to 107.8 ± 248.1 mm
2
at 6 months. ESWT seems to be a powerful, non-pharmacological tool that produces rapid pain relief and functional improvement and aids the normalization of the vascular and metabolic impairments which characterize BMESH.</description><identifier>ISSN: 0172-8172</identifier><identifier>EISSN: 1437-160X</identifier><identifier>DOI: 10.1007/s00296-014-2991-5</identifier><identifier>PMID: 24658812</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Arthralgia - diagnosis ; Arthralgia - physiopathology ; Arthralgia - therapy ; Biomechanical Phenomena ; Bone Marrow - pathology ; Bone Marrow Diseases - diagnosis ; Bone Marrow Diseases - physiopathology ; Bone Marrow Diseases - therapy ; Edema - diagnosis ; Edema - physiopathology ; Edema - therapy ; Female ; Follow-Up Studies ; High-Energy Shock Waves - therapeutic use ; Hip Joint - pathology ; Hip Joint - physiopathology ; Humans ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pain Measurement ; Prospective Studies ; Radiotherapy, High-Energy - methods ; Recovery of Function ; Retrospective Studies ; Rheumatology ; Time Factors ; Treatment Outcome</subject><ispartof>Rheumatology international, 2014-11, Vol.34 (11), p.1513-1518</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-694ab898750059b20a20caf8fe4f0576ba781a1009235dfa6b2b39eec866d9e73</citedby><cites>FETCH-LOGICAL-c442t-694ab898750059b20a20caf8fe4f0576ba781a1009235dfa6b2b39eec866d9e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24658812$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>d’Agostino, Cristina</creatorcontrib><creatorcontrib>Romeo, Pietro</creatorcontrib><creatorcontrib>Lavanga, Vito</creatorcontrib><creatorcontrib>Pisani, Salvatore</creatorcontrib><creatorcontrib>Sansone, Valerio</creatorcontrib><title>Effectiveness of extracorporeal shock wave therapy in bone marrow edema syndrome of the hip</title><title>Rheumatology international</title><addtitle>Rheumatol Int</addtitle><addtitle>Rheumatol Int</addtitle><description>There is no gold standard for treatment of bone marrow edema syndrome of the hip (BMESH). Usually, treatment is conservative, owing to the favorable and self-limiting prognosis. In musculoskeletal disorders, the effectiveness of extracorporeal shock wave therapy (ESWT) has been widely recognized and recent research supports its use in the treatment of the first stages of avascular osteonecrosis of the proximal femur and in other conditions where bone marrow edema is present. On this basis, we performed a prospective study to evaluate the effectiveness of ESWT in normalizing the symptoms and imaging features of BMESH. Twenty consecutive symptomatic patients underwent two treatments of high-energy ESWT and were followed-up at 2, 3 and 6 months, with a final clinical follow-up at mean 15.52 ± 1.91 months. Patients underwent magnetic resonance imaging of the hip and were evaluated according to the Harris hip score. The mean improvement in HHS over the course of the study was of 58.5 ± 14.9 points (
p
< 0.0001), and the mean edema area reduced from 981.9 ± 453.2 mm
2
pre-treatment to 107.8 ± 248.1 mm
2
at 6 months. ESWT seems to be a powerful, non-pharmacological tool that produces rapid pain relief and functional improvement and aids the normalization of the vascular and metabolic impairments which characterize BMESH.</description><subject>Adult</subject><subject>Arthralgia - diagnosis</subject><subject>Arthralgia - physiopathology</subject><subject>Arthralgia - therapy</subject><subject>Biomechanical Phenomena</subject><subject>Bone Marrow - pathology</subject><subject>Bone Marrow Diseases - diagnosis</subject><subject>Bone Marrow Diseases - physiopathology</subject><subject>Bone Marrow Diseases - therapy</subject><subject>Edema - diagnosis</subject><subject>Edema - physiopathology</subject><subject>Edema - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>High-Energy Shock Waves - therapeutic use</subject><subject>Hip Joint - pathology</subject><subject>Hip Joint - physiopathology</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pain Measurement</subject><subject>Prospective Studies</subject><subject>Radiotherapy, High-Energy - methods</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>Rheumatology</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0172-8172</issn><issn>1437-160X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kMtKxDAUhoMoznh5ADcScOOmmqTNbSnDeAHBjYLgIqTtiVOdNjXpjM7bm2FURHCTQzjf-ZPzIXREyRklRJ5HQpgWGaFFxrSmGd9CY1rkMqOCPG6jMaGSZSodI7QX4wtJdyHILhqxQnClKBujp6lzUA3NEjqIEXuH4WMItvKh9wHsHMeZr17xu10CHmYQbL_CTYdL3wFubQj-HUMNrcVx1dXBt7COSCCeNf0B2nF2HuHwq-6jh8vp_eQ6u727uplc3GZVUbAhE7qwpdJKckK4LhmxjFTWKQeFI1yK0kpFbVpYs5zXzoqSlbkGqJQQtQaZ76PTTW4f_NsC4mDaJlYwn9sO_CIaKnLJOVO6SOjJH_TFL0KXfpeoZE0yJdeBdENVwccYwJk-NGnblaHErM2bjXmTzJu1ecPTzPFX8qJsof6Z-FadALYBYmp1zxB-Pf1v6ic_RY37</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>d’Agostino, Cristina</creator><creator>Romeo, Pietro</creator><creator>Lavanga, Vito</creator><creator>Pisani, Salvatore</creator><creator>Sansone, Valerio</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20141101</creationdate><title>Effectiveness of extracorporeal shock wave therapy in bone marrow edema syndrome of the hip</title><author>d’Agostino, Cristina ; Romeo, Pietro ; Lavanga, Vito ; Pisani, Salvatore ; Sansone, Valerio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-694ab898750059b20a20caf8fe4f0576ba781a1009235dfa6b2b39eec866d9e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Arthralgia - diagnosis</topic><topic>Arthralgia - physiopathology</topic><topic>Arthralgia - therapy</topic><topic>Biomechanical Phenomena</topic><topic>Bone Marrow - pathology</topic><topic>Bone Marrow Diseases - diagnosis</topic><topic>Bone Marrow Diseases - physiopathology</topic><topic>Bone Marrow Diseases - therapy</topic><topic>Edema - diagnosis</topic><topic>Edema - physiopathology</topic><topic>Edema - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>High-Energy Shock Waves - therapeutic use</topic><topic>Hip Joint - pathology</topic><topic>Hip Joint - physiopathology</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pain Measurement</topic><topic>Prospective Studies</topic><topic>Radiotherapy, High-Energy - methods</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>Rheumatology</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>d’Agostino, Cristina</creatorcontrib><creatorcontrib>Romeo, Pietro</creatorcontrib><creatorcontrib>Lavanga, Vito</creatorcontrib><creatorcontrib>Pisani, Salvatore</creatorcontrib><creatorcontrib>Sansone, Valerio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Complete (ProQuest Database)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Rheumatology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>d’Agostino, Cristina</au><au>Romeo, Pietro</au><au>Lavanga, Vito</au><au>Pisani, Salvatore</au><au>Sansone, Valerio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of extracorporeal shock wave therapy in bone marrow edema syndrome of the hip</atitle><jtitle>Rheumatology international</jtitle><stitle>Rheumatol Int</stitle><addtitle>Rheumatol Int</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>34</volume><issue>11</issue><spage>1513</spage><epage>1518</epage><pages>1513-1518</pages><issn>0172-8172</issn><eissn>1437-160X</eissn><abstract>There is no gold standard for treatment of bone marrow edema syndrome of the hip (BMESH). Usually, treatment is conservative, owing to the favorable and self-limiting prognosis. In musculoskeletal disorders, the effectiveness of extracorporeal shock wave therapy (ESWT) has been widely recognized and recent research supports its use in the treatment of the first stages of avascular osteonecrosis of the proximal femur and in other conditions where bone marrow edema is present. On this basis, we performed a prospective study to evaluate the effectiveness of ESWT in normalizing the symptoms and imaging features of BMESH. Twenty consecutive symptomatic patients underwent two treatments of high-energy ESWT and were followed-up at 2, 3 and 6 months, with a final clinical follow-up at mean 15.52 ± 1.91 months. Patients underwent magnetic resonance imaging of the hip and were evaluated according to the Harris hip score. The mean improvement in HHS over the course of the study was of 58.5 ± 14.9 points (
p
< 0.0001), and the mean edema area reduced from 981.9 ± 453.2 mm
2
pre-treatment to 107.8 ± 248.1 mm
2
at 6 months. ESWT seems to be a powerful, non-pharmacological tool that produces rapid pain relief and functional improvement and aids the normalization of the vascular and metabolic impairments which characterize BMESH.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24658812</pmid><doi>10.1007/s00296-014-2991-5</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Arthralgia - diagnosis Arthralgia - physiopathology Arthralgia - therapy Biomechanical Phenomena Bone Marrow - pathology Bone Marrow Diseases - diagnosis Bone Marrow Diseases - physiopathology Bone Marrow Diseases - therapy Edema - diagnosis Edema - physiopathology Edema - therapy Female Follow-Up Studies High-Energy Shock Waves - therapeutic use Hip Joint - pathology Hip Joint - physiopathology Humans Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged Original Article Pain Measurement Prospective Studies Radiotherapy, High-Energy - methods Recovery of Function Retrospective Studies Rheumatology Time Factors Treatment Outcome |
| title | Effectiveness of extracorporeal shock wave therapy in bone marrow edema syndrome of the hip |
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