Effect Of Extracorporeal Shock Wave Therapy On Ultrasonography Changes In Patients With Palmar Fibromatosis: A Randomized Controlled Trial

Inclusion Criteria: * Patients diagnosed with palmar fibromatosis. * Adults aged 18 to 70 years. * Patients of any stage of physiological change of the disease (nodules cords and contractures). Exclusion Criteria: * Patients with contraindications to extracorporeal shock wave therapy. * Patients with a history of previous surgery for palmar fibromatosis. * Patients with comorbidities or conditions that may affect the outcomes of the study. * Patients of ganglions and palmar tendon fibrosis. * Patients of sever and morbid obesity. * End stage disease with psychological disturbance nature. * Pregnant women. * Cardiac and pulmonary unstable patients may affect results.