Özet:

Purpose: Our study was aimed at investigating the effectiveness of Extracorporeal Shock Wave Treatment (ESWT) in patients with palm nodules to reduce contractors, reduce pain, openness of joint movement, quality of life, and the potential delay of surgery. Methods: Patients of Dupuytren who meet the admission criteria to our Hospital Hand Surgery Clinic have been taken into the work range. ESWT was applied to all patients for a period of 6 weeks, one time a week by the same specialist. Patients were evaluated using visual analog scale (VAS), QuickDASH scores, Mayo handheld scores, hand dynamometry systems and capability measurement. Results: The average age of 51 facts were taken into the study scope. According to pre-treatment measurements, followings showed significant improvements in VAS and Quick-DASH scores. A significant increase was observed in the MAYO scores and in the tracking and final control measurements compared to before treatment. In 16 of our cases, the table-top test was negative. The result: We consider that it can be used in the early stages instead of injection and surgical treatment options, which are more expensive due to improving the quality of life and delaying the recurrence of contracture.

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