ArticleAsia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology2026
Focused extracorporeal shock wave therapy following intramedullary screw fixation for Jones fractures in high-level athletes may be associated with earlier bone union and return to sport.
Article in Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Focused extracorporeal shock wave therapy (F-ESWT) is widely used as a bone growth stimulator in the treatment of various bony injuries; however, no previous studies have specifically investigated the efficacy of F-ESWT following intramedullary screw fixation for Jones fractures in athletes. Objective: To evaluate the efficacy of F-ESWT in promoting bone healing following intramedullary screw fixation for Jones fractures in high-level athletes. Methods: This study retrospectively analyzed the treatment outcomes of intramedullary screw fixation using cannulated Herbert-type screws for Jones fractures between April 2017 and April 2023. All the study subjects participated in high-level sports activities (Tegner activity score ≥ 8) prior to injury. A total of 34 patients who met the inclusion/exclusion criteria were enrolled in the study. Among these subjects, 13 patients underwent F-ESWT as postoperative adjunctive therapy (ESWT group), while the remaining 21 patients underwent fracture fixation therapy without F-ESWT augmentation (Non-ESWT group). Application of F-ESWT to the fracture site was initiated at 2 weeks postoperatively and was repeatedly performed once a week for 3 to 4 sessions (administration of 2500 impulses; energy flux density of .20 to .25 mJ/mm Results: All patients in both groups achieved bone union and returned to their original sports activities at their pre-injury level. The median time to obtain bone union was 8 [interquartile range (IQR), 6-8] weeks in the ESWT group and 10 [IQR, 8-10] weeks in the Non-ESWT group ( Conclusion: The application of F-ESWT after intramedullary screw fixation for Jones fractures may be associated with earlier bone union and return to the original sport in high-level athletes. Further prospective studies with larger sample sizes, particularly randomized controlled trials, are needed to validate these preliminary findings.
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