Assessment of Rotator Cuff Partial Tear Treatment with Ultrasound Guided Platelet Rich Plasma Injection

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hana Hamdy Nassef ◽  
Amir Louis Louka ◽  
Mohamed Tarek Ali Abdelhamid Khedr
Keyword(s):  
Rotator Cuff ◽  
Platelet Rich Plasma ◽  
Rotator Cuff Tears ◽  
Ultrasound Guided ◽  
University Hospitals ◽  
Partial Tear ◽  
Plasma Injection ◽  
Partial Tears ◽  
Work Assessment ◽  
Shoulder Score

Abstract Background Rotator cuff tears are a common orthopedic problem, and often these tears are so-called partial tears of the rotator cuff. A partial tear of the rotator cuff is an area of damage or degeneration to the rotator cuff tendons, where the tear does not go all the way through the tendons Objectives The aim of the work assessment of rotator cuff partial tear treatment with ultrasound guided platelet rich plasma injection. Patients and Methods Single arm interventional study which was conducted in Ain shams university hospitals in the period between March 2020 and October 2020, 10 confirmed cases of rotator cuff partial tear diagnosed by MRI were included in this study. Their ages ranging from 25 to 70 years old. Results Our study showed statistically significant improvements in 10 patients in VAS pain score, constant shoulder score, PENN shoulder score and OXFORD shoulder score. Conclusion The ultrasound-guided PRP injection for rotator cuff partial thickness tears is a safe, cheap, and easily prepared outpatient procedure which showed competitive, promising and wellproved results. PRP has the potential to heal the muscle-tendon unit of the rotator cuff and may be a primary nonsurgical treatment modality for rotator cuff tears.

scholarly journals Treatment of Partial Rotator Cuff Tear with Ultrasound-guided Platelet-rich Plasma

2017 ◽  
Vol 7 ◽  
pp. 32 ◽  
Author(s):  
Vetrivel Chezian Sengodan ◽  
Sajith Kurian ◽  
Raghupathy Ramasamy
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Platelet Rich Plasma ◽  
Rotator Cuff Tears ◽  
Lateral Side ◽  
Ultrasound Guided ◽  
Cuff Tear ◽  
Plasma Injection ◽  
Partial Rotator Cuff Tear ◽  
Shoulder Score

Background: The treatment of symptomatic partial rotator cuff tear has presented substantial challenge to orthopaedic surgeons as it can vary from conservative to surgical repair. Researches have established the influence of platelet rich plasma in healing damaged tissue. Currently very few data are available regarding the evidence of clinical and radiological outcome of partial rotator cuff tear treated with ultrasound guided platelet rich plasma injection in English literature. Materials and Methods: 20 patients with symptomatic partial rotator cuff tears were treated with ultrasound guided platelet rich plasma injection. Before and after the injection of platelet rich plasma scoring was done with visual analogue score, Constant shoulder score, and UCLA shoulder score at 8 weeks and third month. A review ultrasound was performed 8 weeks after platelet rich plasma injection to assess the rotator cuff status. Results: Our study showed statistically significant improvements in 17 patients in VAS pain score, constant shoulder score and UCLA shoulder score. No significant changes in ROM were noted when matched to the contra-lateral side (P < 0.001) at the 3 month follow-up. The study also showed good healing on radiological evaluation with ultrasonogram 8 weeks after platelet rich plasma injection. Conclusion: Ultrasound guided platelet rich plasma injection for partial rotator cuff tears is an effective procedure that leads to significant decrease in pain, improvement in shoulder functions, much cost-effective and less problematic compared to a surgical treatment.

Role of Ultrasound-Guided Platelet Rich Plasma Injection in Treatment of Chronic Rotator Cuff Muscles Tendinopathy

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M A Nassef ◽  
A E Allam ◽  
H M N Mohammed
Keyword(s):  
Rotator Cuff ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Platelet Rich Plasma ◽  
Clinical Manifestations ◽  
Base Line ◽  
Ultrasound Guided ◽  
Plasma Injection ◽  
Effective Treatment Modality ◽  
Rotator Cuff Tendinopathy

Abstract Background shoulder pain is the third most common musculoskeletal complaint. And rotator cuff muscles tendinopathy is one of the most common causes for shoulder pain. Aim of the Work to evaluate the effectiveness of the percutaneous ultrasound guided PRP injection in improving or treating chronic Rotator Cuff muscles tendinopathy. Patients and Methods this study was conducted on 33 patients presented to Police Hospital Nasr City and diagnosed as cases of rotator cuff tendinopathy for more than 6 months and not responding to NSAIDs. Results there is high significant improvement of the ultrasound findings and clinical manifestations of patients as regard pain, range of motion and power comparing to the base line start. According to this study, PRP was found to be more effective on the long term then short term “comparing results after one and five month”. Conclusion ultrasound guided PRP injection is a safe and an effective treatment modality for rotator cuff tendinopathy as evidenced by decreased pain and improved range of motion across the shoulder joint after the application and follow up of the PRP.

Platelet-Rich Plasma Injection for Rotator Cuff Tendinopathy and Partial Rotator Cuff Tears: A Pilot Study

2011 ◽  
Vol 43 (Suppl 1) ◽  
pp. 263-264
Author(s):  
Luis Gandara ◽  
David Rabago ◽  
Michael Scarpone ◽  
Edward Snell ◽  
Patrick DeMeo ◽  
...  
Keyword(s):  
Pilot Study ◽  
Rotator Cuff ◽  
Platelet Rich Plasma ◽  
Rotator Cuff Tears ◽  
Plasma Injection ◽  
Rotator Cuff Tendinopathy

scholarly journals Role of Ultrasound Guided Injection of Platelet Rich Plasma (PRP) in Rotator Cuff Tendinopathy

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
G M Niazy ◽  
A H Ali ◽  
M S S Mahmoud
Keyword(s):  
Rotator Cuff ◽  
Platelet Rich Plasma ◽  
Radiology Department ◽  
P Value ◽  
Ultrasound Guided ◽  
University Hospitals ◽  
Significant Difference ◽  
Tendon Thickness ◽  
Rotator Cuff Tendinopathy

Abstract Background Rotator cuff tendinopathy is a leading cause of shoulder pain and a significant source of disability. It is a common disorder, with its prevalence increasing substantially with age and affecting more than 50% of the general population by the age of 60 years Objectives Based on these facts, our study efforts seeked assessment of the role of ultrasound guided platelet rich plasma injection (PRP) in cases of rotator cuff tendinopathy. Patients and Methods Type of Study is single arm interventional study was conducted in Ain shams university hospitals in the period between October 2018 and March 2019, 15 patients were included in the study ranging from 25 to 60 years old, were referred to the Radiology department at Ain Shams University Hospitals. Study Setting: all US examinations were performed by the same senior musculoskeletal radiologist with a large experience in the musculoskeletal US at the radiology department of Ain Shams University hospitals. Study Period: 6 months for data collection. Results Our study showed remarkably noticeable change on comparing the pre-injection and post-injection SPADI Scoring system at 4,8,12 and 24 weeks. There is highly statistically significant pain and disability score and percentage improvement, yet on the other hand the radiological improvement shows no statistically significant difference found between baseline tendon thickness and its follow up at 4, 8 and 12 weeks while only there was statistically significant decrease in tendon thickness found at 24 weeks with p-value = 0.043. Conclusion The ultrasound-guided PRP injection for supraspinatus tendinopathy cases is a safe, cheap, and easily prepared outpatient procedure which showed competitive, promising, and well-proved results when compared to other modalities outcomes such as conventional surgeries, arthroscopic procedures, and physiotherapy. It deserves our attention to its value and efficacy for the sake of the patient as a minimally invasive procedure providing better quality of life.

scholarly journals Neotendon infilling of a full thickness rotator cuff foot print tear following ultrasound guided liquid platelet rich plasma injection and percutaneous tenotomy: favourable outcome up to one year

F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 23 ◽  
Author(s):  
Arockia Doss
Keyword(s):  
Rotator Cuff ◽  
Platelet Rich Plasma ◽  
Favourable Outcome ◽  
Full Thickness ◽  
Ultrasound Guided ◽  
Plasma Injection ◽  
Percutaneous Tenotomy ◽  
One Year ◽  
Excellent Clinical Outcome

This is a case report on excellent clinical outcome and neotendon infilling at one year follow up in a degenerative rotator cuff full thickness tear following percutaneous tenotomy and platelet rich plasma injection.

scholarly journals Treatment of Rotator Cuff Tears with platelet rich plasma: a prospective study with 2 year follow‐up

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chadwick C Prodromos ◽  
Susan Finkle ◽  
Alexandra Prodromos ◽  
Jasmine Li Chen ◽  
Aron Schwartz ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Conservative Treatment ◽  
Structural Damage ◽  
Platelet Rich Plasma ◽  
Rotator Cuff Tears ◽  
Global Rating ◽  
Full Thickness ◽  
Global Improvement ◽  
Partial Tear ◽  
Vas Scores

Abstract Background Surgical treatment of full-thickness rotator cuff (RC) tears is associated with generally good results. There is no consensus regarding treatment of partial thickness tears that fail conservative treatment. The purpose of this study was to look at the efficacy and confirm the safety of dual injection PRP into the shoulder of patients with rotator cuff pathology who have failed conservative treatment with followup to two years. Methods Seventy-one shoulders with MRI confirmed, rotator cuff pathology who failed conservative treatment, had dual PRP injection into the rotator cuff. Global improvement, Quick DASH and VAS scores were collected at 6, 12, and 24 months after treatment and comparison of means was used to analyze changes. Results No adverse events were seen in any patient. Based on global rating scores positive results were seen in 77.9 % of patients at 6 months, 71.6 % at 1 year, and 68.8 % of patients at 2 years. Mean VAS scores improved from 50.2 [CI 44.4–56.0] pre-injection to 26.2 [CI 19.5–32.9] at 6 months, 22.4[CI 16.1–28.7] at 1 year and 18.2 [CI 12.3–24.1] at 2 years (p < 0.0001 for all). The mean Q- DASH scores (0-100, 100 worse) improved from 39.2 [CI 34.3–44.1] for all patients before treatment to 20.7[CI 15.0-26.4] at 6 months, 18.0[CI 12.9–23.1] at 1 year, and 13.8 [CI 8.4–18.8] at 2 years (p < 0.0001 for all). No patient with partial tear had clinical evidence of progression to full thickness tear. When separated into subgroups based on rotator cuff status, all subgroups showed improvement. Patients in the > 50 % partial tear group had the best overall improvement based on Global Rating scores while those in the tendinitis group had the poorest outcomes. Conclusions PRP injection is a safe and effective treatment for RC cuff injury in patients who have failed conservative treatment of activity modification and physical therapy without deterioration of results two years after treatment. Better results are obtained with greater structural tendon damage than in shoulders with inflammation without structural damage. Trial registration This is not a clinical trial.

scholarly journals Platelet-rich plasma for the improvement in shoulder function in rotator cuff disorders

2018 ◽  
Vol 5 (1) ◽  
pp. 156
Author(s):  
Shashi Kant Kumar Singh ◽  
Ankur Ojha
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Platelet Rich Plasma ◽  
Shoulder Function ◽  
Rotator Cuff Tears ◽  
Time Interval ◽  
New Treatment ◽  
One Year ◽  
Partial Rotator Cuff Tear ◽  
Shoulder Score

<p class="abstract"><strong>Background:</strong> Among causes of shoulder pain, rotator cuff disorders are very common. The exact pathogenesis of rotator cuff tears is not clearly understood. To improve outcomes, the relatively new technique of injection of PRP is under investigation. Purpose of this study is to clinically evaluate the efficacy of new treatment of PRP injection in shoulder pain due to rotator cuff pathology.</p><p class="abstract"><strong>Methods:</strong> A prospective, observational study, on patients with shoulder pain diagnosed as rotator cuff disorders admitted in Department of Orthopaedics, RIMS, Ranchi during one year time interval (from 10th October 2016 to 09th October 2017) in the age ranging from 41 to 80 years with a mean age of 57.90 years was conducted. 20 Patients were selected for the study. Initial pre-injection score of patient taken on constant shoulder score and noted. Patient underwent intra-articular injection of PRP in shoulder joint through posterior approach under local anaesthesia. Patients were followed up at 1<sup>st</sup> post-injection day, 1 month, 3 months and 6 months after the injection.<strong></strong></p><p class="abstract"><strong>Results:</strong> Results were analysed according to constant shoulder score. In partial tear 5 (41.67%) have excellent, 6 (50%) have good and 1 (8.33%) has fair outcome on 6 months follow up and in full tear all 8 (100%) patients have poor outcome and none of the patients developed any complication.</p><strong>Conclusions:</strong> A<strong> </strong>single injection of PRP resulted in a safe, significant, sustained improvement in pain and functional outcomes for patients with refractory partial rotator cuff tear (RCT). <p> </p>

scholarly journals Ultrasound guided platelet-rich plasma injection for the treatment of rotator cuff tendinopathy

2016 ◽  
Vol 5 (1) ◽  
pp. 200 ◽  
Author(s):  
Mehdi Moezi ◽  
MohammadAli Tahririan ◽  
Mahdi Motififard ◽  
Mahdi Nemati ◽  
Amin Nemati
Keyword(s):  
Rotator Cuff ◽  
Platelet Rich Plasma ◽  
Ultrasound Guided ◽  
Plasma Injection ◽  
Rotator Cuff Tendinopathy
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