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APPLICATION OF ORTHOVOLTAGE RADIOTHERAPY IN THE TREATMENT OF HUMEROSCAPULAR PERIARTHRITIS /

PRIMENA ORTOVOLTAŽNE RADIOTERAPIJE U LEČENJU HUMEROSKAPULARNOG PERIARTRITISA

Authors

 

Bojan Radojičić 1,2, Marija Radojičić 1,3

1Vojnomedicinska akademija Beograd
2Centar vojnomedicinskih ustanova Beograd
3DZ Simo Milošević Beograd

 

UDK: 616.75-009.7-085


The paper was received / Rad primljen: 25.02.2021.

Accepted / Rad prihvaćen: 08.03.2021.

 


Correspondence to:


Bojan Radojičić
Centar vojnomedicinskih ustanova
Beograd Pasterova 3
Tel: 066 466 700
e-mail: dr.bojan.r@gmail.com

 

 

Sažetak

 

Periartritis humeroskapularis (PAHS) predstavlja zapaljenje vanzglobnog tkiva ramenog pojasa. Obično se javlja jednostrano, ređe obostrano, zapažena je i naizmenična pojava. Najčešće se manifestuje kod osoba srednje životne dobi i nešto je češći kod muškaraca. Dijagnoza se postavlja na osnovu kliničke slike, kliničkog pregleda i radiološkog imidžinga. Upalni proces najčešće počinje na tetivi m. supraspinatusa, koji je rotor i abduktor ruke. Inicijalno lečenje se sastoji u aplikaciji nesteroidnih lekova protiv upale, kao i kombinaciji fizikalnih procedura i terapija vežbama. Tretman ortovoltažnom radioterapijom treba razmotriti rano nakon neuspelog konzervativnog tretmana, a pre bilo kakve invazivne terapije. Sa niskim potencijalnim rizikom od neželjenih efekata jonizujućeg zračenja i niskim troškovima lečenja otrovoltažna radioterapija pruža odličnu dopunu konvencionalnim konzervativnim metodama lečenja, ali i adekvatnu alternativu invazivnim metodama.

 

 

 

Ključne reči:

periatritis humeroskapularis, ortovoltažna radioterapija, kalcifikat, bol u ramenu

 

 

 

Abstract


Periarthritis humeroscapularis (PAHS) is an inflammation of the extra-articular tissue of the shoulder girdle. It typically occurs unilaterally, less often bilaterally, with side alternating cases recorded. It is manifested most common in middle-aged people and is somewhat more common in men. The diagnosis is made on the basis of the clinical demonstration, clinical examination and radiological image. The inflammatory process usually begins on the tendon of the supraspinatus muscle which is the arm rotator and abductor. Initial treatment consists of the application of non-steroidal anti-inflammatory drugs, as well as a combination of physical procedures and exercise therapy. Orthovoltage radiotherapy treatment should be considered early after unsuccessful conservative treatment, and before any invasive therapy. With a low potential risk of side effects of ionizing radiation and low treatment costs, orthovoltage radiotherapy provides an excellent complement to conventional conservative treatment methods but also presents an adequate alternative to invasive methods.

 

 


Key words:

periarthritis humeroscapularis, orthovoltage radiotherapy, calcification, shoulder pain

 

 

 

 

References:

  1. Micke O et al. Radiotherapy for calcaneodynia, achillodynia, painful gonarthrosis, bursitis trochanterica, and painful shoulder syndrome - Early and late results of a prospective clinical quality assessment.  Radiation Oncology (London, England). 2018;13(1):71
  2. Haake M et al. Comparison of extracorporeal shockwave therapy (ESWT) with roentgen irradiation in supraspinatus tendon syndrome – a prospective randomized single-blind parallel group comparison. Z Orthop Ihre Grenzgeb. 2001; 139(5):397-402.
  3. Seegenschmiedt M et al. German Cooperative Group on Radiotherapy for Non-malignant Diseases (GCG-BD) Radiotherapy for non-malignant disorders: state of the art and update of the evidence-based practice guidelines. Br J Radiol. 2015; 88:20150080.
  4. Seegenschmiedt MH, Micke O. Radiotherapy of non-malignant diseases. Past, present and future. Strahlenther Onkol. 2012; 188(3):272–290.
  5. Seegenschmiedt MH. New future for radiation therapy of non-malignant diseases? Radiother Oncol. 2005; 74:1–2.
  6. Seegenschmiedt MH et al. Radiation therapy for non-malignant diseases in Germany. Current concepts and future perspectives. Strahlenther Onkol. 2004;180:718–730.
  7. Micke O et al. German Working Group on Radiotherapy in Germany (GCG-BD) Consensus guidelines for radiation therapy of benign diseases: a multicentre approach in Germany. Int J Radiat Oncol Biol Phys. 2002;52:496–513.
  8. Reichl B et al. German Working Group on Radiotherapy in Germany(GCG-BD) DEGRO practical guidelines for radiotherapy of non-malignant disorders: part I: physical principles, radiobiological mechanisms, and radiogenic risk. Strahlenther Onkol.2015;191:701–709.
  9. Halder AM et al. Anatomy and biomechanics of the shoulder. Ortpoph Clinic North Am. 2000;31(2):159-76
  10. Ott OJ et al. German Cooperative Group on Radiotherapy for Benign Diseases (GCG-BD) DEGRO guidelines for the radiotherapy of non-malignant disorders: part II: painful degenerative skeletal disorders. Strahlenther Onkol. 2015;191:1–6.
  11. Ott OJ et al. Benign painful shoulder syndrome: initial results of a single-center prospective randomized radiotherapy dose-optimization trial. Strahlentherapie und Onkologie: Organ der Deutschen Rontgengesellschaft  [et al] 2012;188:1108–1113.
  12. Ott OJ et al. The Erlangen dose optimization trial for radiotherapy of benign painful shoulder syndrome. Long-term results.Strahlenther Onkol. 2014;190:394–398.
  13. Mileusnić D et al. Ortovoltažna radioterapija. IORS Beograd. 2010.
  14. Mileusnić D, Burbaba M. Radijaciona onkologija. Beograd. 2012. 22:457-458.
  15. Plenk HP. Calcifying tendinitis of the shoulder: a critical study of the value of x-ray therapy. Radiology. 1952;59:384–389.
  16. M H Seegenchmiedt et al. Epicondylopathia humeri (EPH) and peritendinitis humeroscapularis (PHS): evaluation of radiation therapy long-term results and literature review. Radiotherapy oncology. 1998;47(1):17-28.
  17. Oldberg S. On the Etiology of  Periarthritis Humero-Scapularis. Upsala Journal of Medical Sciences. 1977;77(3):143-148
  18. Brealey S et al. Surgical treatments compared with early structured physiotherapy in secondary care for adults with primary frozen shoulder: the UK FROST three-arm RCT. Health Technol Assess. 2020;24(71):1-162
  19. Allen MG. The diagnosis and management of shoulder pain. J Ultarson. 2018;18(74):234-239
  20. Merolla G et al. Calcific tendinitis of the rotator cuff: state of the art in diagnosis and treatment. J Ort Traum.  2016;17(1):7-14.
  21. Manojlović D et al. Interna medicina II. Zavod za udžbenike i nastavna sredstva Beograd. 1998;10:1623-1626.
  22. Keilholz L et al. Periarthritis humeroscapularis (PHS). Indications, technique and outcome of radiotherapy. Strahlenther Oncol. 1995;171(7):379-84.
  23. Niewald M et al. Long-term results of radiotherapy for periarthritis of the shoulder: a retrospective evaluation. 2007.

PDF 04-MD-Vol 13 No 1 2021_Radojičić and Radojičić

 

 

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