Patellar tendon rupture after radial pressure wave therapy – also known as radial shock wave therapy – for patellar tendinopathy: Report of two Cases

Bilateral patellar tendon rupture is an extremely rare occurrence, especially in otherwise healthy individuals without systemic disease. The authors report the case of a man who presented with simultaneous, spontaneous bilateral rupture of his patellar tendons. He had a history of unilateral patellar tendinopathy but no other predisposing risk factors such as steroid or fluoroquinolone use. He underwent surgical repair and following intensive rehabilitation, he returned to baseline physical activity 6 months post injury.

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Effects of extracorporeal shock wave therapy and radial pressure wave therapy on elasticity and microstructure of equine cortical bone

American Journal of Veterinary Research ◽

10.2460/ajvr.2004.65.207 ◽

2004 ◽

Vol 65 (2) ◽

pp. 207-212 ◽

Cited By ~ 12

Author(s):

Frederick E. T. Pauwels ◽

Scott R. McClure ◽

Viren Amin ◽

David Van Sickle ◽

Richard B. Evans

Keyword(s):

Shock Wave ◽

Cortical Bone ◽

Pressure Wave ◽

Extracorporeal Shock Wave Therapy ◽

Radial Pressure ◽

Shock Wave Therapy ◽

Extracorporeal Shock Wave

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Analysis of the Effectiveness of Different Types of Shock Wave Therapy for the Treatment of Patients with Chronic Prostatitis

Health of Man ◽

10.30841/2307-5090.1.2021.232325 ◽

2021 ◽

pp. 34-39

Author(s):

Vitalii Migov

Keyword(s):

Shock Wave ◽

Pelvic Pain ◽

Pressure Wave ◽

Chronic Pelvic Pain ◽

Chronic Pelvic Pain Syndrome ◽

Pain Syndrome ◽

Radial Pressure ◽

Pelvic Pain Syndrome ◽

Pulsation Frequency ◽

Shock Wave Therapy

The article provides a comparative assessment of various methods of shock wave therapy used to treat patients with chronic calculous prostatitis and the presence of chronic pelvic pain syndrome. The mechanism of action of the radial pressure wave and focused shock wave therapy is analyzed in detail. The treatment was carried out in 648 patients divided into 4 groups. In groups 1, 3 and 4, focused shock wave therapy was used using Piezo Wave devices from Richard Wolf of various generations with a piezoelectric generator G-4 (the source of shock waves is a piezoelectric self focusing hemisphere with an energy flux density in the focus area of up to 0,4 mJ/mm2 and pressure up to 82,2 mPa, shock wave pulsation frequency of 8 Hz) and G-10 (the source of shock waves is a piezoelectric self-focusing hemisphere with an energy flux density in the focus area of up to 0,6–2 mJ/mm2 and a pressure of up to 100,0 mPa, shock wave pulsation frequency 8 Hz). The second group used a BTL-6000 SWT Topline radial pressure wave apparatus with a pressure of up to 5 bar and a frequency of up to 20 Hz. The treatment was carried out according to the method developed on the basis of the Research Institute of Urology of the National Academy of Medical Sciences of Ukraine. The technique includes: the use of shock wave therapy, transrectal photo-electrostimulation and electrophoresis of the rectal preparation fermencol. The technique has long established itself as an effective way to combat chronic pelvic pain syndrome. The study was conducted in order to establish the most effective method of shock wave therapy and the optimal number and power of impulses per session, as well as the required number of sessions to achieve the maximum effect in relation to pain and in relation to a decrease in the area of prostate gland lesions by secondary changes: fibrosis and calculi, in order to further improve the technique, in connection with the emergence of new models of shock wave therapy devices with improved characteristics on the medical equipment market, article provides a comparative assessment of various methods of shock wave therapy used to treat patients with chronic calculous prostatitis and the presence of chronic pelvic pain syndrome. The mechanism of action of the radial pressure wave and focused shock wave therapy is analyzed in detail.

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Patellar Tendinopathy and Patellar Tendon Rupture

Tendon Injuries ◽

10.1007/1-84628-050-8_18 ◽

2005 ◽

pp. 166-177 ◽

Cited By ~ 4

Author(s):

Karim M. Khan ◽

Jill L. Cook ◽

Nicola Maffulli

Keyword(s):

Patellar Tendon ◽

Tendon Rupture ◽

Patellar Tendinopathy ◽

Patellar Tendon Rupture

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Open knee dislocation with a patellar tendon rupture: Result of staged surgical repair

SAGE Open Medical Case Reports ◽

10.1177/2050313x18823102 ◽

2019 ◽

Vol 7 ◽

pp. 2050313X1882310

Author(s):

Tsuneari Takahashi ◽

Tomohiro Matsumura ◽

Kazuaki Ishihara ◽

Shuhei Hiyama ◽

Katsushi Takeshita

Keyword(s):

Posterior Cruciate Ligament ◽

Surgical Management ◽

Patellar Tendon ◽

Tendon Rupture ◽

Cruciate Ligament ◽

Knee Dislocation ◽

Patellar Tendon Rupture ◽

Collateral Ligament ◽

Range Of Movement ◽

Multiligament Injury

Knee dislocation with concomitant multiligament injury is a rare and devastating injury. We report the successful repair of a rare case of open knee dislocation with concomitant multiligament injury and patellar tendon rupture of an 18-year-old male due to a motorcycle accident. The patient presented with an open wound running parallel to the knee joint line and patellar tendon rupture with full exposure of the cartilage of the distal femur. Staged surgical management including the application of a ring-type external fixator with a hinged joint, lateral collateral ligament repair, medial collateral ligament reconstruction using autogenous hamstring tendon, and joint release was performed. Range of movement was recovered to 0 degrees of knee extension and 80 degrees of knee flexion, and extension lag was negative. The Lysholm score of the patient was recovered to 92. The patient was able to return to work in the construction field 2 years after sustaining the injury. The patient had no complaint of pain and was able to resume construction work, even though reconstruction of the anterior cruciate ligament and posterior cruciate ligament was not performed. The application of a hinged ring-type external fixation device might play a key role in early range of movement restoration and to maintain the reduced position and acceptable recovery of the posterior cruciate ligament injury without the need for reconstructive surgery. This report is the first to describe the safety and effectiveness of staged surgical management for the repair of open knee dislocation with concomitant multiligament injury and patellar tendon rupture. However, further studies with longer follow-up periods will be needed to observe the development of osteoarthritis or weakness of the knee. Staged surgical management is a safe and effective procedure for repairing an open knee dislocation with concomitant multiligament injury and patellar tendon rupture.

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