Neotendon infilling of a full thickness rotator cuff foot print tear following ultrasound guided liquid platelet rich plasma injection and percutaneous tenotomy: favourable outcome up to one year

Doss, Arockia

doi:10.12688/f1000research.2-23.v1

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…There is only one case report on treatment of a full-thickness supraspinatus tear with percutaneous PRP injection. This demonstrated neotendon infilling and improvements in pain and function at 1 year but did not report on longer term functional or pain outcomes [61]. There is little evidence to support the use of PRP only in the percutaneous treatment of full-thickness supraspinatus tears.…”

Section: Stem Cells Internationalmentioning

confidence: 88%

A Randomized Controlled Trial of the Treatment of Rotator Cuff Tears with Bone Marrow Concentrate and Platelet Products Compared to Exercise Therapy: A Midterm Analysis

Centeno

Fausel

Stemper³

et al. 2020

Stem Cells International

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Injectable regenerative therapies such as bone marrow concentrate (BMC) and platelet-rich plasma (PRP) may represent a safe alternative in the treatment of rotator cuff tears. This is a midterm review of a randomized, crossover trial comparing autologous BMC and platelet product injections versus exercise therapy in the treatment of partial and full-thickness supraspinatus tears. Patients enrolled into the study were between 18 and 65 years of age presenting to an outpatient orthopedic clinic with partial to full thickness, nonretracted supraspinatus tendon tears. Enrolled patients were randomized to either ultrasound-guided autologous BMC with PRP and platelet lysate (PL) percutaneous injection treatment or exercise therapy. Patients could cross over to BMC treatment after at least 3 months of exercise therapy. Patients completed the Disability of the Arm, Shoulder and Hand (DASH) scores as the primary outcome measure. Secondary outcomes included the numeric pain scale (NPS), a modified Single Assessment Numeric Evaluation (SANE), and a blinded MRI review. At this midterm review, results from 25 enrolled patients who have reached at least 12-month follow-up are presented. No serious adverse events were reported. Significant differences were seen in patient reported outcomes for the BMC treatment compared to exercise therapy at 3 and 6 months for pain, and for function and reported improvement (SANE) at 3 months (p<.05). Patients reported a mean 89% improvement at 24 months, with sustained functional gains and pain reduction. MRI review showed a size decrease of most tears post-BMC treatment. These findings suggest that ultrasound-guided BMC and platelet product injections are a safe and useful alternative to conservative exercise therapy of torn, nonretracted supraspinatus tendons. This trial is registered with NCT01788683.

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Section: Stem Cells Internationalmentioning

confidence: 88%

A Randomized Controlled Trial of the Treatment of Rotator Cuff Tears with Bone Marrow Concentrate and Platelet Products Compared to Exercise Therapy: A Midterm Analysis

Centeno

Fausel

Stemper³

et al. 2020

Stem Cells International

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show abstract

“…19 Some studies have reported promising results when examining the effect of PRP in chronic tendinopathies. 16,[20][21][22][23][24][25] In a study comparing PRP with blinded sham saline injections, de Vos 26 and colleagues reported significant improvement in both saline and PRP groups that slightly favored the PRP subjects but not by a statistically significant margin. However, saline injection may not be the best control group because it is likely active for tendinopathy; injecting saline into the tendon alters the pressure-volume relationship in a given space, thereby disrupting pathologic vascular and neural ingrowth.…”

Section: Achilles Tendon Backgroundmentioning

confidence: 99%

Ultrasonography-guided Intervention in the Achilles Tendon and Plantar Fascia

Martin,

Moriñigo

2023

Semin Musculoskelet Radiol

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Tendinopathy is very common in the foot and ankle. Achilles tendinopathy is a painful overuse injury that often occurs in athletes, especially those who participate in running and jumping sports. Plantar fasciitis is the most frequent cause of plantar pain in the adult heel. Initial treatment of these conditions is conservative. However, in some cases symptoms only improve slowly, and many cases are intractable. When conservative management fails, ultrasonography guided injections are indicated. We discuss the main interventions performed in the foot and ankle for Achilles tendinopathy, retrocalcaneal bursitis, and plantar fasciitis. We describe the different agents that can be used and the various ultrasonography-guided procedures that offer technical and practical information to improve daily clinical practice.

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Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part I, shoulder

et al. 2019

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Neotendon infilling of a full thickness rotator cuff foot print tear following ultrasound guided liquid platelet rich plasma injection and percutaneous tenotomy: favourable outcome up to one year

Abstract: This is a case report on excellent clinical outcome and neotendon infilling at one year follow up in a degenerative rotator cuff full thickness tear following percutaneous tenotomy and platelet rich plasma injection.

Cited by 4 publications

References 9 publications

A Randomized Controlled Trial of the Treatment of Rotator Cuff Tears with Bone Marrow Concentrate and Platelet Products Compared to Exercise Therapy: A Midterm Analysis

A Randomized Controlled Trial of the Treatment of Rotator Cuff Tears with Bone Marrow Concentrate and Platelet Products Compared to Exercise Therapy: A Midterm Analysis

Ultrasonography-guided Intervention in the Achilles Tendon and Plantar Fascia

Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part I, shoulder

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