Successful Treatment of Supraspinous and Interspinous Ligament Injury With Ultrasound-Guided Platelet-Rich Plasma Injection: Case Series

Creighton, Andrew; Sanguino, Roger A.; Cheng, Jennifer; Wyss, James F.

doi:10.1177/1556331621992312

Cited by 4 publications

(8 citation statements)

References 14 publications

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“…(1) history: patients have an obvious history of knee joint trauma: sprain, fall, and sports injury; (2) clinical manifestations: obvious swelling and pain of knee joint in the early stage of injury, obvious limitation of movement, no obvious swelling and pain of knee joint after old injury for more than 6 weeks, and instability of knee joint during daily life or exercise; (3) physical examination: front drawer test (+), Lachman test (+), axle shift test (+), and lever sign (+) [9]; and (4) auxiliary examination: X-ray: the anterior and lateral films of the knee joint usually show normal. If Segond fracture is found, it may indicate that there may be injury of ACL.…”

Section: Methodsmentioning

confidence: 99%

“…Early rehabilitation training can not only promote the regression of knee joint swelling and reduce the incidence of knee joint adhesion, and isometric contraction training of quadriceps femoris and triceps calf can effectively reduce the incidence of disuse atrophy of muscles around knee joint and deep venous thrombosis of lower extremities [8]. However, the aggressive or high intensity of early postoperative rehabilitation training will aggravate the swelling and pain of the knee joint, make the patients lose confidence in the rehabilitation training, hinder the smooth progress of the rehabilitation training, and have a negative effect on the postoperative rehabilitation of the knee joint [9]. Therefore, how to reduce the knee joint inflammatory reaction after ACL reconstruction and eliminate the postoperative knee joint swelling and pain become more effectively.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Nursing in Operating Room Combined with Intraoperative Heat Preservation Intervention on Prevention of Incision Infection and Improvement of Hemodynamics in Patients with Anterior Cruciate Ligament Injury and Reconstruction under Knee Arthroscopy

Dai

2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the effect of nursing in operating room combined with intraoperative heat preservation intervention on preventing incision infection and improving hemodynamics in patients with anterior cruciate ligament (ACL) injury and reconstruction under knee arthroscopy. Methods. About 200 patients with knee arthroscopic ACL reconstruction in our hospital from January 2019 to July 2021 were enrolled. The patients were randomly assigned into two groups: the control group and the study group. The former group received nursing care in the operating room operating room and the latter group received nursing care in operating room combined with intraoperative heat preservation intervention. Nursing satisfaction, incidence of incision infection, knee joint VAS score, knee joint range of motion, knee joint Lysholm score, and hemodynamic indexes were compared. Results. First of all, we compared the nursing satisfaction, the study group was very satisfied in 78 cases, satisfactory in 20 cases, and general in 2 cases, and the satisfaction rate was 100.00%, while in the control group, 445 cases were very satisfied, 20 cases were satisfied, 15 cases were general, and 8 cases were dissatisfied. The satisfaction rate was 82.00%. The nursing satisfaction of the study group was higher compared to the control group ( P < 0.05 ). Secondly, we compared the incidence of incision infection. The incidence of incision infection in the study group was lower compared to the control group ( P < 0.05 ). With regard to the knee joint VAS score, the knee joint VAS score of the study group was lower compared to the control group at 2 weeks, 4 weeks, 8 weeks, and 12 weeks after operation ( P < 0.05 ). In terms of the range of motion of the knee joint, the range of motion of the knee joint in the study group was higher compared to the control group at 2 weeks, 4 weeks, 8 weeks, and 12 weeks after operation ( P < 0.05 ). Regarding the knee joint Lysholm score, the knee joint Lysholm score of the study group was higher compared to the control group at 2 weeks, 4 weeks, 8 weeks, and 12 weeks after operation ( P < 0.05 ). Finally, we compared the hemodynamic indexes. Before nursing, there exhibited no significant difference ( P > 0.05 ). During and after nursing, the indexes of HR and MAP in the study group fluctuated little ( P < 0.05 ). Conclusion. During the perioperative period of patients with ACL injury and reconstruction under knee arthroscopy, standardized and necessary operating room combined with intraoperative thermal insulation intervention measures should be given, attention should be paid to the management of operating room, and intraoperative thermal insulation intervention should be strengthened. It includes preoperative visit, psychological nursing of patients, strict application of antibiotics before operation, monitoring of air quality in operating room, disinfection and sterilization of surgical instruments, shortening operation time, maintaining body temperature during operation, and paying attention to hand hygiene of medical staff. It plays a supervisory role in promoting the attention of medical staff to the prevention of wound infection, which is beneficial to the healing of surgical wounds of patients. It plays a positive role in enhancing hemodynamic indexes. Comprehensive nursing intervention on the risk factors of each link can effectively prevent postoperative wound infection and strengthen the prognosis and quality of life of patients.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of Nursing in Operating Room Combined with Intraoperative Heat Preservation Intervention on Prevention of Incision Infection and Improvement of Hemodynamics in Patients with Anterior Cruciate Ligament Injury and Reconstruction under Knee Arthroscopy

Dai

2022

Computational and Mathematical Methods in Medicine

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“…The supraspinal ligament (SSL) and interspinous ligament (ISL), as part of the posterior ligament complex, play an indispensable role in spinal stability. A case report described two cases of SSL and ISL injury, in which, ultrasound-guided ligament-targeted injection of LR-PRP leukocyte-rich plasma was successful, with almost 100% pain improvement 6 and 9 months after treatment, respectively ( 120 ).…”

Section: Application Of Prp In Spine Surgerymentioning

confidence: 99%

Application of platelet-rich plasma in spinal surgery

et al. 2023

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With the aging of the population and changes in lifestyle, the incidence of spine-related diseases is increasing, which has become a major global public health problem; this results in a huge economic burden on the family and society. Spinal diseases and complications can lead to loss of motor, sensory, and autonomic functions. Therefore, it is necessary to identify effective treatment strategies. Currently, the treatment of spine-related diseases includes conservative, surgical, and minimally invasive interventional therapies. However, these treatment methods have several drawbacks such as drug tolerance and dependence, adjacent spondylosis, secondary surgery, infection, nerve injury, dural rupture, nonunion, and pseudoarthrosis. Further, it is more challenging to promote the regeneration of the interstitial disc and restore its biomechanical properties. Therefore, clinicians urgently need to identify methods that can limit disease progression or cure diseases at the etiological level. Platelet-rich plasma (PRP), a platelet-rich form of plasma extracted from venous blood, is a blood-derived product. Alpha granules contain a large number of cytokines, such as platelet-derived growth factor (PDGF), vascular endothelial growth factor (VEGF), epidermal growth factor, platelet factor 4 (PF-4), insulin-like growth factor-1 (IGF-1), and transforming growth factor-β (TGF-β). These growth factors allow stem cell proliferation and angiogenesis, promote bone regeneration, improve the local microenvironment, and enhance tissue regeneration capacity and functional recovery. This review describes the application of PRP in the treatment of spine-related diseases and discusses the clinical application of PRP in spinal surgery.

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“…A lthough uncommon, the interspinous region can be a source of low back pain (LBP). 1 Examples of interspinous pain that have been reported in the literature are kissing spine syndrome, interspinous bursitis, supraspinous or interspinous ligament sprain, and degeneration in the interspinous region. [1][2][3] In cases of interspinous pain, identifying a structure as the sole pain generator remains controversial and has not been well characterized in the literature.…”

mentioning

confidence: 99%

“…1 Examples of interspinous pain that have been reported in the literature are kissing spine syndrome, interspinous bursitis, supraspinous or interspinous ligament sprain, and degeneration in the interspinous region. [1][2][3] In cases of interspinous pain, identifying a structure as the sole pain generator remains controversial and has not been well characterized in the literature. In some cases, interspinous pain may be attributed in part to the interspinous ligament (ISL), which is part of the posterior ligamentous complex and plays a role in adjoining the spinous processes and maintaining stability of the spine.…”

mentioning

confidence: 99%

Treatment of interspinous pain with extracorporeal shockwave therapy: a case report

Leupold,

Cheng,

Barcavage

et al. 2023

Am J Phys Med Rehabil

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The interspinous region is an atypical source of low back pain (LBP), and it can often be difficult to identify. There are many structural components in the interspinous region that can contribute to interspinous pain, including the interspinous ligament (ISL) which plays a role in providing stabilization to the spine. Successful treatments of interspinous pain have not been well characterized in the literature. This case presents the first documentation of the use of extracorporeal shockwave therapy (ESWT) as a non-invasive treatment for refractory interspinous-related LBP. ESWT has previously been shown to facilitate regeneration and tissue healing in tendons and ligaments, but has not previously been used to treat interspinous pain. A 24-year-old former collegiate softball player presented with 5 months of LBP; the ISL was clinically suspected as a pain generator, and this was confirmed via an ultrasound-guided injection. She underwent a course of physical therapy that improved function but did not improve pain, and non-steroidal anti-inflammatory drugs only provided minimal and temporary relief. Three consecutive ESWT treatment sessions provided 90% improvement in pain and function, and she was able to return to exercise and recreational sports. At >6 months post-ESWT treatment, she reported no recurrences or functional limitations.

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Successful Treatment of Supraspinous and Interspinous Ligament Injury With Ultrasound-Guided Platelet-Rich Plasma Injection: Case Series

Cited by 4 publications

References 14 publications

Effect of Nursing in Operating Room Combined with Intraoperative Heat Preservation Intervention on Prevention of Incision Infection and Improvement of Hemodynamics in Patients with Anterior Cruciate Ligament Injury and Reconstruction under Knee Arthroscopy

Effect of Nursing in Operating Room Combined with Intraoperative Heat Preservation Intervention on Prevention of Incision Infection and Improvement of Hemodynamics in Patients with Anterior Cruciate Ligament Injury and Reconstruction under Knee Arthroscopy

Application of platelet-rich plasma in spinal surgery

Treatment of interspinous pain with extracorporeal shockwave therapy: a case report

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