title: [The value of radial shock wave therapy in the management of extended crural ulceration. Case report].
abstract: The authors present the history of a 36-year-old woman who had crural ulceration in the ventral side of the left lower limb due to venous circulatory failure for 5 years. In addition to the application of dressing adapted to the actual status of the wound, the authors applied an extracorporal shock wave therapy two times per week. After this treatment the size of the ulcer significantly decreased and it became suitable for mesh-graft cover. The patient is currently asymptomatic. The authors draw attention to the fact that the number of patients having crural ulcer is increasing in developed countries including Hungary. Lower limb ulcers occur in 1-5% of the adult population. Predisposing factors include older age and civilization hazards such as obesity, diabetes and sedentary lifestyle. The main cause of the disease is circulatory failure; venous insufficiency occurs in about two-thirds of the patients, arterial ischemia in 15% and diabetic angiopathy in 15% of the cases. Infections, metabolic diseases and immunological disorders may be also an underlying cause in a small number of patients. In several patients the causative factors occur simultaneously making difficult to find and effective treatment. Despite the use of numerous preventive and therapeutic protocols, treatment is usually long and does not always match expectations of the patients.
authors.affiliation: Magyar Honvédség Egészségügyi Központ I. Általános Sebészeti Osztály 1553 Budapest Pf. 1.
authors.forename: László
authors.initials: L
authors.lastname: Fekete
authors.affiliation: Magyar Honvédség Egészségügyi Központ I. Általános Sebészeti Osztály 1553 Budapest Pf. 1.
authors.forename: György Ádám
authors.initials: GÁ
authors.lastname: Nagy
authors.affiliation: Magyar Honvédség Egészségügyi Központ I. Általános Sebészeti Osztály 1553 Budapest Pf. 1.
authors.forename: Péter Kamilló
authors.initials: PK
authors.lastname: Diamant
authors.affiliation: Magyar Honvédség Egészségügyi Központ Égés és Plasztikai Sebészeti Osztály Budapest.
authors.forename: Csaba
authors.initials: C
authors.lastname: Halmy
authors.affiliation: Harmónia Egészségcentrum Budapest.
authors.forename: Agnes
authors.initials: A
authors.lastname: Zentai
mesh_terms: D000328:Adult; D001458:Bandages; D003276:Contraceptives, Oral / Q000008:administration & dosage / Q000009:adverse effects; D048909:Diabetes Complications / Q000628:therapy; D005260:Female; D019220:High-Energy Shock Waves / Q000627:therapeutic use*; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007871:Leg Ulcer / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D009765:Obesity / Q000150:complications; D012307:Risk Factors; D057185:Sedentary Behavior; D016038:Skin Transplantation / Q000379:methods*; D012907:Smoking / Q000009:adverse effects; D013526:Surgical Mesh; D014689:Venous Insufficiency / Q000150:complications* / Q000209:etiology; D014945:Wound Healing
chemical_list: D003276:Contraceptives, Oral
keywords: adaptált kötszerválasztás; chronic ulcer; radial extracorporal wave therapy; radiális extracorporalis lökéshullám; ulcus cruris; venous stasis ulcer; wound bandage