Evidence map›Paper›PMID 39669014›Full record

ArticleJournal of orthopaedic case reports2024

Role of Image-guided Platelet-rich Plasma Injection in the Management of Patients of Supraspinatus Tendon Tear.

Swati Tripathi, Mehtab Ahmad, Mohammad Jesan Khan, Adnan Anwer, M Ahsan Firoz, Faisal Harun

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Article in Journal of orthopaedic case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Swati TripathiDepartment of Radio-Diagnosis, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Mehtab AhmadDepartment of Radio-Diagnosis, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Mohammad Jesan KhanDepartment of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Adnan AnwerDepartment of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
M Ahsan FirozDepartment of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Faisal HarunDepartment of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Supraspinatus tendinopathy is a common reason for shoulder pain, with or without an associated cuff tear. Various modalities of treatment have been described in literature such as physiotherapy, analgesics, corticosteroid injection, surgical repair (open or arthroscopic), and platelet-rich plasma (PRP) injection. Recently, there has been an increasing trend of PRP injection for rotator cuff arthropathy. Hence, we conducted a study to assess the effectiveness of PRP injection under ultrasound (USG) guidance in patients with supraspinatus tear. Materials and Methods: Twenty-eight patients were divided into two groups: Group A (physiotherapy, n = 15) and Group B (PRP injection with USG guidance, n = 13). Pain (Visual Analog Score [VAS]) and function (Oxford Shoulder Score [OSS]) were evaluated at baseline, 1 week, 4 weeks, and 12 weeks. Results: 28 patients were divided into two groups, i.e., Group A (15 pt) - physiotherapy and Group B (13 pt) - PRP injection. On the basis of the VAS, PRP group has better score at 1 and 4 weeks as the results were statistically significant while insignificant at 12 weeks. On the basis of OSS, PRP group has better score at 1 and 4 weeks as the results were statistically significant while insignificant at 12 weeks similar to VAS score. Discussion: The findings on pain relief (VAS) generally agree that both methods offer short-term improvement, with PRP potentially having a slight edge. However, the long-term effects (beyond 3 months) are less clear. Similarly, physiotherapy shows promise in improving function (Oxford score) in the short term, while some PRP studies suggest sustained benefits, possibly dependent on the specific PRP formulation. Overall, the discussion highlights the need for further investigation into the long-term efficacy of PRP compared to physiotherapy for managing rotator cuff tears. Conclusion: Improvement in function and relief in pain were better in PRP group when compared to conservative group but we found that PRP has no superior result as compared to conservative therapy in the management of rotator cuff tear.

Indexed as

oxford shoulder scorephysiotherapyPlatelet-rich plasmasupraspinatus tendon tearVisual Analog Score

Identifiers

PMID39669014
PMCPMC11632504

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.