Can PRP US-guided injection accelerate healing and be alternative to surgery for patients with Achilles and patellar tendinopathy?

This poster is published under an open license. Please read the disclaimer for further details.

Congress:

ECR 2015

Poster Number:

B-0075

Type:

Scientific Paper

Keywords:

Interventional non-vascular, Musculoskeletal system, Professional issues, MR, Ultrasound, Localisation, Puncture, Athletic injuries, Inflammation, Trauma

Authors:

A. La Marra, S. Mariani, F. Arrigoni, L. M. Gregori, L. Zugaro, A. Barile, C. Masciocchi; L'Aquila/IT

DOI:

10.1594/ecr2015/B-0075

DOI-Link:

https://dx.doi.org/10.1594/ecr2015/B-0075

Fig. 1: Fig 1 a : Sag T1/Sag T2 FAT and AXIAL ( Achilles’ tendinopathy at level of...

Fig. 2: Fig 1 a : Sag T1/Sag T2 FAT and Axial ( Achilles’ tendinopathy at level of...

Fig. 3: Sag T1/Sag X-Bone and Axial (Achilles’ tendinopathy at level of the middle...

Purpose

The purpose of our study is evaluate and show the recovery time after injection with Platelet Rich Plasma (PRP) in athletes with tendinosis of Achilles and Patellar tendon.

Methods and materials

In the last four years we evaluated 70 athletes with degenerative tendinosis of Achilles tendon and 50 athletes with degenerative tendinosis of patellar tendon. For the first time we evaluated the patient through diagnostic testing (MRI and US guided). The protocol employed sagittal FSE T2sequences (TE = 125ms; TR = 3100) and PD-axial turbo multi-echo sequences (TME; TE = 28 ms ; TR = 2930). A qualitative method was employed to evaluate the signal intensity of the tendons. A quantitative evaluation of the thickness was...

Results

In patients with tendinosis of Achilles tendon we found an overall improvement by 80% (VAS) and 46,7% (VISA-A). In patients with tendinosis of patellar tendon, the VAS value is increased of 76% and VISA-P value 49.8%. Patients with tendinosis of Achilles tendon presented a reduction of thickness tendon about 34,79% and patients with Patellar tendinosis about 35.69%

Conclusion

Our study showed that the US-guided PRP treatment in case of degenerative tendon diseases may increase Achilles and Patellar tendons functionality and reduce recovery times in athletes. Our experience proves that PRP infiltration may be a good therapeutic alternative for the treatment of Achilles and patellar tendinopathy in athletes

Personal information

References

1. Selvanetti, A., M.Cipolla, and G.Puddu. Overuse Tendon Injuries: Basic Science and Classification. 5:110- 117, 1997 2. Astrom, M.On the nature and etiology of chronic Achilles tendinopathy. PhD thesis 3. Lian OB, Engebretsen L, Bahr R (2005) Prevalence of jumper’s knee among elite athletes from different sports: a cross-sectional study. Am J Sport Med 33:561–567 4. Kettunen JA, Kvist M, Alanen E et al (2002) Long term prognosis for jumper’s knee in male athletes. A prospective follow-up study.Am J Sport Med 30(5):689–692 5. Barh R,...