The Journal of bone and joint surgery. American volume
-
J Bone Joint Surg Am · Jun 2005
Multicenter StudyAccuracy of office-based ultrasonography of the shoulder for the diagnosis of rotator cuff tears.
This prospective multi-institutional study was designed to define the accuracy of ultrasonography, when performed in an orthopaedic surgeon's office, for the diagnosis of rotator cuff tears. ⋯ A well-trained office staff and an experienced orthopaedic surgeon can effectively utilize ultrasonography, in conjunction with clinical examination and a review of shoulder radiographs, to accurately diagnose the extent of rotator cuff tears in patients suspected of having such tears. Errors in diagnosis made on the basis of ultrasonography most often consist of an inability to distinguish between partial and full-thickness tears that are approximately 1 cm in size. In this study, such errors did not significantly affect the planned surgical approach.
-
J Bone Joint Surg Am · Jun 2005
Randomized Controlled Trial Multicenter Study Clinical TrialExtracorporeal shock wave therapy without local anesthesia for chronic lateral epicondylitis.
The use of extracorporeal shock wave therapy for the treatment of lateral epicondylitis is controversial. The purpose of this study was to evaluate the use of extracorporeal shock wave therapy without local anesthesia to treat chronic lateral epicondylitis. ⋯ These results demonstrate that low-dose shock wave therapy without anesthetic is a safe and effective treatment for chronic lateral epicondylitis.