Ultrasound‐Guided Intratendinous Injections With Platelet‐Rich Plasma or Autologous Whole Blood for Treatment of Proximal Hamstring Tendinopathy

Davenport, Kathleen L.; Campos, Jose Santiago; Nguyen, Joseph; Saboeiro, Gregory R.; Adler, Ronald S.; Moley, Peter J.

doi:10.7863/ultra.34.8.1455

Cited by 67 publications

(64 citation statements)

References 34 publications

(58 reference statements)

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“…PRP could provide several molecules capable of boosting healing mechanisms and counteracting degenerative processes in tendinopathic tendon, restoring tissue architecture and enhancing tenocyte viability. In the present review, initial evidences in favor of PRP injections have been found only in the management of hamstring tendinopathy 23,24 , while the efficacy of this treatment in the other hip tendinopathies is not investigated yet. However, the encouraging results obtained, may allow to an ulterior option prior to surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

“…No clinical complications were reported during follow-up. In a double blind RCT, PRP injections result equally effective to whole blood cell injections until 6 months of follow-up, without any statistically significance difference 24 . Zissen MH et al 25 in a retrospective study enrolled 65 patients who received ultrasound-guided corticosteroid injections between January 2002 and December 2008.…”

Section: Conservative Management Of Tendinopathies Around Hipmentioning

confidence: 99%

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Conservative management of tendinopathies around hip

Frizziero

Vittadini

Pignataro

et al. 2016

MLTJ

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SummaryBackground: The anatomy of hip is widely complex and several anatomical structures interact and contribute to its functioning. For position and role, hip and the surrounding tendons, which have their insertion around, are overstressed and often overloaded, especially in athletes. This could lead to the developing of several tendinopathies, among which the differential diagnosis is often complicated. Many conservative treatments are used in clinical practice, while actually, no defined conservative protocol is recommended. Methods: This is a review article. The aim of this manuscript is to evaluate the current evidences about the effectiveness of conservative management in hip tendinopathies. Conclusion: Conservative treatment is effective in the management of hip tendinopathies and may be considered the first-line approach for patients affected. However, there is lack of evidences about which is the most effective treatment. Exercise therapy seems to provide long-term pain relief, but the literature is still lacking about the correct type, dose, posology, intensity of exercise prescribed. Further studies about different local approaches, as PRP or hyaluronic acid injections, may be encouraged. Level of evidence: I.

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Section: Discussionmentioning

confidence: 99%

Section: Conservative Management Of Tendinopathies Around Hipmentioning

confidence: 99%

Conservative management of tendinopathies around hip

Frizziero

Vittadini

Pignataro

et al. 2016

MLTJ

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“…[37][38][39][40] When the studies in which PRP was obtained from autologous blood in clinics were considered, it was found that it was prepared from 10 to 20 min. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] Nevertheless, it takes time to apply it to cases, which makes its bioactive and effective treatment results controversy.…”

Section: -2234mentioning

confidence: 99%

“…The cases in PRP group showed significant increase in ADL and IHOT-33 scoring during 6th month when compared to pre-injection, yet it was not the case in total blood applications. 10 In another manuscript, PRP and HA injected groups were compared in cases with osteoarthritis (n = 192). The cases were injected PRP and HA for the purpose of delay of surgery.…”

Section: -2234mentioning

confidence: 99%

“…6 For this very reason, it is applied in all fields of medicine including orthopaedic surgery in tissue damage treatments. 7,8 PRP's use has been increasing in many cases such as primarily osteoarthritis, 9 proximal hamstring, 10 Achilles, 11 patellar tendinopathies, 12 talar osteochondral lesions, 13 rotator cuff damage repair, 14 lateral epicondylitis treatment, 15 relieving pains following arthroplasty 8 and contributing to bone healing of tibia in distraction osteogenesis. 8 However, as there are contradictory results reported in some cases in literature where PRP was applied, there are some questions regarding the efficiency of PRP treatment.…”

Section: Introductionmentioning

confidence: 99%

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Is there a treatment protocol in which platelet-rich plasma is effective?

Yılmaz

Akkaya

Isyar³

et al. 2016

Journal of Orthopaedics

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Orthobiologics for the Hip Region: A Narrative Review

McInnis

Chen

Finnoff

et al. 2020

PM&R

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Management of hip region disorders is challenging. Orthobiologic treatments including platelet rich plasma (PRP), mesenchymal stem cells, and amniotic injectables have gained popularity as promising treatments despite a lack of robust evidence for their effectiveness. We review rationale and current evidence for orthobiologics for three common hip region conditions: hip osteoarthritis, gluteal tendinopathy, and proximal hamstring tendinopathy. Overall, the current state of evidence is extremely limited for orthobiologic treatments and is predominantly relevant to PRP injections. There is currently a lack of data to support the use of mesenchymal stem cells or amniotic injectables in these conditions of the hip. the use of orthobiologics in the treatment of three common diagnoses affecting the hip region: osteoarthritis (OA), gluteal tendinopathy, and proximal hamstring tendinopathy (PHT). Methods A review was conducted of PubMed and Medline articles from January 2000 to June 2019 with search terms including hip, osteoarthritis, gluteal tendonitis, hamstring tendonitis, tendinosis, tendinopathy, platelet rich plasma, mesenchymal stem cell, amniotic stem cell, and amniotic injectables. Randomized controlled trials, case series, systematic reviews, and meta-analyses were reviewed. Only studies investigating chronic refractory tendinopathy and osteoarthritis were included. We did not include studies investigating acute muscle, myotendinous injury, acetabular labral pathology, or focal osteochondral lesion. Platelet Rich Plasma PRP is an autologous plasma concentrate containing platelets above physiologic concentrations in whole blood. Platelets are thought to initiate the healing cascade by forming a fibrin matrix, which serves as a tissue

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Ultrasound‐Guided Intratendinous Injections With Platelet‐Rich Plasma or Autologous Whole Blood for Treatment of Proximal Hamstring Tendinopathy

Cited by 67 publications

References 34 publications

Conservative management of tendinopathies around hip

Conservative management of tendinopathies around hip

Is there a treatment protocol in which platelet-rich plasma is effective?

Orthobiologics for the Hip Region: A Narrative Review

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