FUNCTIONAL OUTCOME OF TENNIS ELBOW (LATERAL EPICONDYLITIS) TREATED BY LOCAL INJECTION OF PLATELET RICH PLASMA
DOI:
https://doi.org/10.22159/ajpcr.2022.v15i10.46408Keywords:
Tennis Elbow, Platelet Rich Plasma, Patient-rated tennis elbow evaluation score, Functional outcomeAbstract
Objective: The aim of the study was to evaluate the efficacy of local injection of platelet rich plasma in management of patients with tennis elbow who failed to respond to conservative management.
Methods: This was a prospective and cohort study in which 80 patients with lateral epicondylitis (Tennis elbow) were included on the basis of a predefined inclusion and exclusion criteria. Demographic details were noted. Patients were treated by local injection of autologous platelet rich plasma. Patients were followed up for 6 months. Relief of pain as well as functional improvement was assessed by patient-rated tennis elbow evaluation (PRTEE) score. SSPS 21.0 software was used for statistical analysis and p<0.05 was taken as statistically significant.
Results: Out of 80 studied cases, there were 36 (45%) males and 44 (55%) females with a M: F ratio of 1:1.22. The mean age of male (42.77±9.95 years) as well as female (41.06±9.56 years) was found to be comparable. Nineteen (23.75%) patients were involved in plumbing, 16 (20%) patients were involved in activities that required forceful use of screwdrivers such as electric work, 8 (10%) patients were involved in gardening, and 7 (8.75%) patients were involved in production or laying of bricks. Twelve (15%) patients were professional tennis player. The mean PRTEE score was 74.24±9.74 at the time of presentation. There was significant reduction in PRTEE score during follow-up and at the time of last follow-up visit, PRTEE score was found to be 8.32±2.56.
Conclusion: Local injection of autologous platelet rich plasma is effective in managing patients of lateral epicondylitis (Tennis elbow) who fail to respond to conservative management.
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References
Cutts S, Gangoo S, Modi N, Pasapula C. Tennis elbow: A clinical review article. J Orthop 2019;17:203-7. doi: 10.1016/j.jor.2019.08.005. PMID: 31889742; PMCID: PMC6926298
Johns N, Shridhar V. Lateral epicondylitis: Current concepts. Aust J Gen Pract 2020;49:707-9. doi: 10.31128/AJGP-07-20-5519. PMID: 33123709
Qi L, Zhang YD, Yu RB, Shi HB. Magnetic resonance imaging of patients with chronic lateral epicondylitis: Is there a relationship between magnetic resonance imaging abnormalities of the common extensor tendon and the patient’s clinical symptom? Medicine (Baltimore) 2016;95:e2681. doi: 10.1097/MD.0000000000002681. PMID: 26844506; PMCID: PMC4748923
Flatt AE. Tennis elbow. Proc (Bayl Univ Med Cent) 2008;21:400-2. doi: 10.1080/08998280.2008.11928437. PMID: 18982084; PMCID: PMC2566914
Levin D, Nazarian LN, Miller TT, O’Kane PL, Feld RI, Parker L, et al. Lateral epicondylitis of the elbow: US findings. Radiology 2005;237:230-4. doi: 10.1148/radiol.2371040784. Epub 2005 Aug 18. PMID: 16118152
Cha YK, Kim SJ, Park NH, Kim JY, Kim JH, Park JY. Magnetic resonance imaging of patients with lateral epicondylitis: Relationship between pain and severity of imaging features in elbow joints. Acta Orthop Traumatol Turc 2019;53:366-71. doi: 10.1016/j. aott.2019.04.006. Epub 2019 Apr 28. PMID: 31040053; PMCID:PMC6819801
Ma KL, Wang HQ. Management of lateral epicondylitis: A narrative literature review. Pain Res Manag 2020;2020:6965381. doi: 10.1155/2020/6965381. PMID: 32454922; PMCID: PMC7222600
Razavipour M, Azar MS, Kariminasab MH, Gaffari S, Fazli M. The short term effects of shock-wave therapy for tennis elbow: A clinical trial study. Acta Inform Med 2018;26:54-6. doi: 10.5455/ aim.2018.26.54-56. PMID: 29719315; PMCID: PMC5869227
Ang BF, Mohan PC, Png MA, Allen JC Jr., Howe TS, Koh JS, et al. Ultrasonic percutaneous tenotomy for recalcitrant lateral elbow tendinopathy: Clinical and sonographic results at 90 months. Am J Sports Med 2021;49:1854-60. doi: 10.1177/03635465211010158. Epub 2021 May 6. PMID: 33956537
Marks M, Rickenbacher D, Audigé L, Glanzmann MC. Patient-rated tennis elbow evaluation (PRTEE). Z Orthop Unfall 2021;159:391-6. doi: 10.1055/a-1107-3313. Epub 2020 Mar 23. PMID: 32207123
Cho Y, Yeo J, Lee YS, Kim EJ, Nam D, Park YC, et al. Healthcare utilization for lateral epicondylitis: A 9-year analysis of the 2010- 2018 health insurance review and assessment service national patient sample data. Healthcare 2022;10:636. https://doi.org/10.3390/ healthcare10040636
Descatha A, Dale AM, Jaegers L, Herquelot T, Evanoff B. Self-reported physical exposure association with medial and lateral epicondylitis incidence in a large longitudinal study. Occup Environ Med 2013;70:670-3.
Vaquero-Picado A, Barco R, Antuña SA. Lateral epicondylitis of the elbow. EFORT Open Rev 2017;1:391-7. doi: 10.1302/2058- 5241.1.000049. PMID: 28461918; PMCID: PMC5367546
Sanders TL Jr., Kremers HM, Bryan AJ, Ransom JE, Smith J, Morrey BF. The epidemiology and health care burden of tennis elbow: A population-based study. Am J Sports Med 2015;43:1066-71. doi: 10.1177/0363546514568087. Epub 2015 Feb 5. PMID: 25656546; PMCID: PMC4517446
Dunn JH, Kim JJ, Davis L, Nirschl RP. Ten-to 14-year follow-up of the Nirschl surgical technique for lateral epicondylitis. Am J Sports Med 2008;36:261-6.
Haahr JP, Andersen JH. Physical and psychosocial risk factors for lateral epicondylitis: A population based case-referent study. Occup Environ Med 2003;60:322-9.
Kumawat PK, Goel R, Kumhar U, Sharma R, Parmar R, Sharma B. Management of lateral epicondylitis (tennis elbow) by local infiltration of platelet rich plasma an outcome study. Int J Res Orthop 2020;6:963-7.
Omar AS, Ibrahima ME, Sayed A, Saida AM. Local injection of autologous platelet rich plasma and corticosteroid in treatment of lateral epicondylitis and plantar fasciitis: randomized clinical trial. Egypt Rheumatol. 2012;34:43-9.
Palacio EP, Schiavetti RR, Kanematsu M, Ikeda TM, Mizobuchi RR, Galbiatti JA. Effects of platelet-rich plasma on lateral epicondylitis of the elbow: Prospective randomized controlled trial. Rev Bras Ortop 2016;51:90-5.
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