Keywords:
Interventional non-vascular, Musculoskeletal soft tissue, Musculoskeletal system, MR, Percutaneous, Ultrasound, Efficacy studies, Treatment effects, Biological effects, Outcomes
Authors:
M. E. E. Mostafa Fouad, A. A. M. B. Okba; Cairo/EG
DOI:
10.26044/ecr2019/C-1482
Conclusion
The purpose of the study was to assess the efficacy of PRP injection in Supraspinatus partial tendon tear cases.Our study showed remarkably noticeable change on comparing the pre-injection and post-injection SPADI scoring system at 6 weeks and 3 months.
There is highly statistically significant pain and disability score and percentage improvement.
Although the limitation of the study were the relatively small number of the studied population with the need to involve larger number of patients in future studies for the validation of our findings.
Also,
some patients were not compliant with post-procedure instructions.
We recommend that the future studies should have more concentration on the mechanism of action of PRP on a partially torn rotator cuff tendon that remains a challenge and deserves ongoing investigation.
Furthermore,
follow-up is recommended using ultrasound and MRI to assess the changes occurring in the injected tendon tear post-PRP injection.
From our practice, we felt that studies should be directed towards more than one injection for the same patient at fixed scheduled dates and longer follow-up duration to assess the maximum efficacy of the PRP injection in these patients.
In conclusion ,Procedure was proved to be a safe,
promising treatment option for that portion of patients with a high potential but still needs more dedicated studies to strengthen that notion.