Bilateral Calcification of Achilles’ Tendons, and Acetic Acid Iontophoresis Plus Ultrasound Effectivenness

Q4 Medicine Middle East Journal of Rehabilitation and Health Pub Date : 2018-01-14 DOI:10.5812/MEJRH.62397

M. E. Fernández-Cuadros, O. Pérez-Moro, M. Albaladejo-Florín, L. Casique-Bocanegra, Ruben Algarra-López

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引用次数: 1

Abstract

Introduction: Calcifyingtendonitisisthedepositionof hydroxyapatitewithintendons. Itcouldaﬀectdiﬀerenttendons. Inthecurrentcasereport,bilateralAchilles’ tendonswereaﬀected.Theetiologyismultifactorial.Thetreatmentisconservativeandsurgical.Iontophoresisisaconservativetechniquethatfavorsthepenetrationof5%aceticacid,basedontheattractionandrepulsionofchargeswiththehelpofcontinuouselectriccurrent. Case Presentation: A 57-year-old female presented a 12-month experience of bilateral Achilles’ tendon pain. Conservative treatment (nonsteroidal anti-inﬂammatory drugs(NSAIDs),lasertherapy,andphysiotherapy)andadvancedtreatment(shockwaves)didnotalleviateherpain. Radiographyandultrasoundscanshowedbilateral insertionalformativecalciﬁcationonbothAchilles’ tendons,9.3mmonleftAchilles’ tendonand6.6mmonrightone. After15sessionsof 5% aceticacidiontophoresis (2mL,4.7mA × 10minutes)andcontinuousultrasound(1W/cm 2 ,1MHz × 5minutes)overthecalciﬁcationarea, calciﬁcationsizesdecreasedfrom9.3to4.3mm(left Achille’stendon)anddisappearedonrightAchille’stendon.Painalsodecreasedfrom9/10to4/10onleftAchille’stendonandfrom5/10tonothingonrighttendon. Conclusions: Based on the authors‘ best knowledge, the current study was the ﬁrst case report that conﬁrmed the eﬀectiveness of 5% acetic acid iontophoresis plus ultrasoundtotreatbilateralAchilles’ calcifyingtendonitis.

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双侧跟腱钙化、醋酸离子导入加超声治疗

引言：钙化肌腱炎是指羟基磷灰石在内容物中的位置。它可能会影响不同的注意力。在目前的病例报告中，双边阿喀琉斯的趋势受到了影响。病因是多因素的。治疗分为保守治疗和手术治疗。离子电渗是一种保护性技术，可避免5%乙酸的渗透，基于电荷的性质和脉冲，借助于持续使用的电流。病例介绍：一名57岁女性，经历了12个月的双侧跟腱疼痛。保守治疗（非甾体抗炎药（NSAIDs）、激光治疗和物理治疗）和高级治疗（冲击波）并没有减轻疗效。射线照片和超声波扫描显示，双侧跟腱、左跟腱和右跟腱上的脂肪钙化点插入。经过15次5%醋酸电渗（2mL，4.7mA×10分钟）和持续超声（1W/cm2，1MHz×5分钟）治疗后，钙化尺寸从9.3毫米增加到4.3毫米（左侧Achille’端），右侧Achille‘端消失。疼痛也从9月10日减少到4月10日左肌腱和5月10日右肌腱。结论：根据作者的最佳知识，本研究是第一份证实5%乙酸离子电渗加超声波治疗双侧阿喀琉斯钙化肌炎有效的病例报告。

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Middle East Journal of Rehabilitation and Health Medicine-Rehabilitation

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0.80

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0.00%

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