Outcomes of PRP injection therapy in subacromial space in partial tears of Rotator cuff
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Original research . First author has been mistakenly written twice . Kindly rectify that . Thanks and regards for same.Abstract
Introduction: Rotator cuff is a dynamic stabilizer of the shoulder joint responsible for it’s greater range of motion. Rotator cuff pathologies are a main source of disability ,work inefficiency and overall shoulder disability. Platelet-rich plasma (PRP) has been postulated to be of great advantage in the management of rotator cuff tears .PRP is known for its anti-inflammatory and regenerative potential in orthopedics. Aim and Objectives: The aim of the study was to assess the outcomes of PRP injections in partial rotator cuff tears by injection of PRP in subacromial space on pain control and improved shoulder functions.Material and Methods: The study was conducted in the Orthopaedics Department of GMC, Patiala on 50 patients (aged more than 18 years) who presented in emergency and Outpatient Department with symptoms of anterolateral shoulder pain and decreased mobility at shoulder who did not respond to conservative management and physical therapy for consecutive 3 months .The patients were subjected to MRI of the affected shoulder and those who showed partial cuff tears were considered for the study. Every consenting patient was given PRP injection by posterior approach into the subacromial space. Patients were followed up subsequently after 1 month,6 months, 12 months and 24 months time for resolution of symptoms and improved painless activities at the shoulder. Outcome was assessed based on VAS system and constant Shoulder Scoring System. Results: Comparison of the patients before and after injection therapy revealed significant difference in VAS and CSS at all the follow up times with maximum improvement at longest follow-up period. Conclusion: Subacromial PRP injection was found to be safe and effective in long-term in improving overall quality of life, disability, pain, improved work efficiency, and improved shoulder functioning in patients with partial rotator cuff tears irrespective of its cause with its beneficial effects more at long term .
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Edoardo Giovannetti de Sanctis, Edoardo Franceshetti Ferninando De Dona, Alessio Palumbo . The efficacy of injection for partial rotator cuff Tears:A systematic review . J Clin Med 2021,10,51 dx .doi.org/10.3390/jcm10010051
Pengfei ZHV Zhengchao WANG Hongmei LI Yu CAI doi:10.2340/jrm.v54.1434 thu, 15Sep 2022 in Journal of rehabilitation Medicine.
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