Frontiers in physiology · 2026 · 系統性回顧＋統合分析（依標題推測）

Extracorporeal Shockwaves Therapy for Finger Stenosing Tenosynovitis: A Systematic Review and Meta-Analysis

腕與手 · 扳機指

中文閱讀摘要

統合分析顯示ESWT顯著改善手指狹窄性腱鞘炎疼痛及功能，但QDASH分數無顯著差異，且證據有限需更多研究。

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原始摘要

Background

Stenosing tenosynovitis is a common chronic tendon disease that seriously affects daily life and working ability. However, its treatment is very challenging and requires more effective treatment methods. A large number of clinical studies have shown that extracorporeal shock wave therapy (ESWT) may relieve the symptoms of stenosing tenosynovitis, but there are no published reviews or meta-analyses specifically and comprehensively evaluating its efficacy for this disease. Therefore, through conducting a meta-analysis, this study systematically evaluated the therapeutic effect of ESWT on stenosing tenosynovitis, aiming to provide evidence-based medical evidence for clinical decision-making.

Methods

A literature search was conducted in PubMed, Embase, Web of Science, Cochrane Library, Wanfang, CNKI, and VIP databases. Randomized controlled trials (RCTS) on shock wave therapy for stenosing tenosynovitis from database establishment to June 2025. The limited languages are Chinese and English. The search terms include: "Extracorporeal shockwave therapy," shock wave therapy, "HIFU therapy, "De quervain stenosing tenosynovitis," Trigger Digits, "finger Snapping". The extracted inclusion indicators included the pain score VAS or NRS, the QDASH Disability questionnaire (Quick Disabilities of the Arm, Shoulder, and Hand questionnaire), and the cooney wrist joint function score. After extracting the data, meta-analysis was conducted through Review Manager5.3 software and Stata17.0 software.

Results

Twelve studies were included, all of which were randomized controlled studies. The results showed that the experimental group was significantly superior to the control group in terms of pain relief, with a total effect size of -1.32 (95% CI: -1.85, -0.79), which was highly statistically significant (Z = 4.89, P < 0.00001). The QDASH score of the shock wave group was superior to that of the control group, and there was no statistically significant difference (MD = -6.14, 95% CI [-14.00, 1.72], P = 0.13, I 2 = 78%). The Cooney score showed that there was a significant difference between the shock wave group and the control group (MD = 13.84, 95% CI [5.04, 22.64], P = 0.002, I 2 = 95%); The evaluation of clinical efficacy showed that there were significant differences between the shock wave group and the control group (RR = 5.44, 95% CI [2.99, 9.90], P < 0.00001, I 2 = 49%).

Conclusion

The results of this meta-analysis show that ESWT has a positive effect on symptom improvement in patients with stenosing tenosynovitis, but there is currently a lack of sufficient and high-quality systematic data to support it. In the future, more rigorous and well-designed clinical studies with adequate sample sizes are needed to comprehensively verify the safety and efficacy of ESWT in treating stenotic tenosynovitis.

至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19

書目、來源與全文狀態

DOI: 10.3389/fphys.2026.1714817
PMID／PMCID: 41727952 / PMC12916413
作者: Zhang L, Luo Y, Chen L, Zhang X, Chen J
首次發表日期: 2026-02-05Europe PMC 提供，部分日期可能依年份或月份推定。
卷／期／頁碼或文章編號: 17 ／期未提供／ 1714817
書目來源與查核日期: Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
全文與授權: 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。來源授權標示：cc by。

可回溯引用

Zhang L, Luo Y, Chen L, Zhang X, Chen J. Extracorporeal Shockwaves Therapy for Finger Stenosing Tenosynovitis: A Systematic Review and Meta-Analysis. Frontiers in physiology. 2026;17:1714817. PMID: 41727952. PMCID: PMC12916413. doi:10.3389/fphys.2026.1714817

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