A Litrature Review Article: Effect of Extracorporeal Shock Wave Therapy on Ultrasonography Changes in Patients with Palmar Fibromatosis

Background: Palmar fibromatosis, also known as Du-puytren’s contracture, is a condition that affects the hand and fingers. It is characterized by the thickening and tightening of the fascia, a layer of connective tissue beneath the skin of the palm. This thickening and tightening connective tisseucan lead to the formation of nodules or cords that restrict the movement of the affected fingers however, palmar fibromatosis (PF) has many types of treatment modalities like physical therapy, ra-diotherapy, different surgical procedures and to recent extent shockwave therapy has an extinctive results both in treatment and preventing catastrophic prognosis of the disease. Aim of Study: Many trials studied the effect of shockwave therapy on palmar fibromatosis but there was little which tried to explore what is happening within the treated tissues after shockwave sessions. Ultrasound imaging, is a non-invasive medical diagnostic technique that uses high-frequency sound waves to create real-time images of the body’s internal struc-tures. It is commonly used to visualize organs, tissues, and blood flow patterns, aiding in the diagnosis and monitoring of various medical conditions. The aim of this study was to re-view the current lietrature on the effect of extracorporeal shock wave therapy (ESWT) in patients with Palmar fibromatosis. Conclusion: ESWT, when combined with conventional physical therapy, significantly decreased the lesions size, depth while increased pain pressure threshold, hand functions, range of motion and hand grip strength in patients with palmar fi-bromatosis.