Yue L, Chen H, Feng TH, Wang R, Sun HL. Low-intensity extracorporeal shock wave therapy for midshaft clavicular delayed union: A case report and review of literature. World J Clin Cases 2021; 9(27): 8242-8248 [PMID: 34621887 DOI: 10.12998/wjcc.v9.i27.8242]
Corresponding Author of This Article
Hao-Lin Sun, MD, Associate Professor, Department of Orthopaedics, Peking University First Hospital, No. 8 Xishiku Ave, Beijing 100034, China. sunhaolin@vip.163.com
Research Domain of This Article
Rehabilitation
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 26, 2021; 9(27): 8242-8248 Published online Sep 26, 2021. doi: 10.12998/wjcc.v9.i27.8242
Low-intensity extracorporeal shock wave therapy for midshaft clavicular delayed union: A case report and review of literature
Lei Yue, Hao Chen, Tian-Hao Feng, Rui Wang, Hao-Lin Sun
Lei Yue, Tian-Hao Feng, Rui Wang, Hao-Lin Sun, Department of Orthopaedics, Peking University First Hospital, Beijing 100034, China
Hao Chen, Department of Rehabilitation, Peking University First Hospital, Beijing 100034, China
Author contributions: Yue L, Chen H and Feng TH reviewed the literature and contributed to manuscript drafting; Chen H was the therapist of the patient; Yue L analyzed and interpreted the imaging findings; Sun HL and Wang R were the surgeons of the patient and responsible for the revision of the manuscript; all authors issued final approval for the version to be submitted.
Supported byBeijing Municipal Natural Science Foundation, No. 7212117.
Informed consent statement: Informed consent was obtained from the patient for the publication of this case report and any accompanying imaging.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hao-Lin Sun, MD, Associate Professor, Department of Orthopaedics, Peking University First Hospital, No. 8 Xishiku Ave, Beijing 100034, China. sunhaolin@vip.163.com
Received: May 4, 2021 Peer-review started: May 4, 2021 First decision: June 24, 2021 Revised: July 5, 2021 Accepted: August 3, 2021 Article in press: August 3, 2021 Published online: September 26, 2021 Processing time: 135 Days and 7.2 Hours
Abstract
BACKGROUND
One of the most common complications following surgery for midshaft clavicle fracture is nonunion/delayed union. Extracorporeal shock wave therapy (ESWT) is an alternative to promote new bone formation without surgical complications. To date, no literature has reported low-intensity ESWT (LI-ESWT) in delayed union of midshaft clavicle fracture.
CASE SUMMARY
We reported a 66-year-old Chinese amateur cyclist with clavicle delayed union treated with 10 sessions of LI-ESWT (radial, 0.057 mJ/mm2, 3 Hz, 3000 shocks). No anesthetics were applied, and no side effects occurred. At the 4 mo and 7 mo follow-ups, the patient achieved clinical and radiographical recovery, respectively.
CONCLUSION
In conclusion, our findings indicated that LI-ESWT could be a good option for treating midshaft clavicular delayed union.
Core Tip: Clavicle fracture is a common injury for cyclists, and surgical intervention could result in nonunion or delayed union. This is the first case report in the literature of low-intensity extracorporeal shock wave therapy treating midshaft clavicular delayed union. Our treatment protocol was unique in low-energy dosage, radial pattern, and multiple sessions. The clinical and radiographical outcomes were good, and the patient was able to return to sports, specifically amateur cycling, after a relatively short treatment period. The findings of this study could be particularly valuable for treating delayed union of clavicle fracture in athletes.
Share the Article
Yue L, Chen H, Feng TH, Wang R, Sun HL. Low-intensity extracorporeal shock wave therapy for midshaft clavicular delayed union: A case report and review of literature. World J Clin Cases 2021; 9(27): 8242-8248 [PMID: 34621887 DOI: 10.12998/wjcc.v9.i27.8242]
