Case Report: Focused Shock Waves as a Treatment Option in Failed Rotator Cuff Calcification Surgery

Abstract

Introduction: Focused extracorporeal shock wave treatment has emerged as an alternative therapy before invasive procedures when conservative treatment has failed in rotator cuff calcifications. It can also be used when surgery has failed. Case Report: We report a case of failed surgery in which focused shock waves were used for treatment. We applied three sessions of focused electromagnetic waves (Dornier Compact Alpha) with an energy level of 0.20 mJ/mm2, 2000 pulses per sesión, every 2 weeks. The pain gradually disappeared and mobility was regaining. The radiographic control 2 months after the last session showed the total disappearance of the calcification. The end result was the complete disappearance of the symptoms. Conclusion: The effectiveness of shock waves, their non-invasiveness, safety, and cost efficiency justify their use both as an option before an invasive technique and when surgery has failed in the treatment of rotator cuff calcifications. Keywords: Rotator cuff calcifications, Shock waves, Failed surgery.