Ultrasound-guided platelet-rich plasma injection for distal biceps tendinopathy

Barker, Simon; Bell, Simon; Connell, David; Coghlan, Jennifer

doi:10.1177/1758573214567558

Cited by 38 publications

(18 citation statements)

References 24 publications

(27 reference statements)

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“…Growth factors regulate and stimulate cellular processes during healing. Furthermore, the fibrin clot of PRP provides a matrix for the migration of cells responsible for healing (14,25). Our results are also consistent with findings obtained in previous studies reported that the using of PRP alone or combined with other types of the graft can shorten the required time for tendon healing (6,14).…”

Section: Discussionsupporting

confidence: 91%

Clinical and ultrasonographic study of using autogenous venous graft and platelet-rich plasma for repairing Achilles tendon rupture in dogs

Allawi¹,

Alkattan²,

Aliraqi³

2019

IJVS

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The present article was aimed to assess the healing process of experimental entire rupture of Achilles tendon treated with various methods. The study was conducted on twenty-four healthy mature local breed dogs, which were randomly allocated in equal four experimental groups (6 of each). All dogs underwent complete Achilles tendon rupture and reconstructed as following: Group1 (control), animals were treated with tendorrhaphy only; Group 2, tendorrhaphy with platelet-rich plasma; Group 3, tendorrhaphy with a vein graft; and Group 4, the ruptured tendon was repaired with tendorrhaphy and augmented with vein and platelet-rich plasma. Dogs were monitored clinically and sonographically to evaluate tendon healing at 15, 30 and 60 days following the surgery. By comparison with the control group, the utilizing of plasma, with or without vein graft, enhanced the healing process of the induced rapture. Clinically, animals showed a fastest weight bearing and ultrasound imaging revealed increased echogenicity of fibrotic tissue. Clinically, the vein-platelet-rich plasma treated animal's demonstrated early weight bearing, while animal treated with plasma showed earlier improvement in fiber pattern echogenicity. Furthermore, the using of vein graft for injury repair increased the repair process and the healing was earlier than that in the control group. In conclusions, our results suggested that the using of platelet-rich plasma with or without vein graft could enhance tendon healing and improve its mechanical function, which might be attributed to the synergistic effect of platelet-rich plasma with the vein graft.

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Section: Discussionsupporting

confidence: 91%

Clinical and ultrasonographic study of using autogenous venous graft and platelet-rich plasma for repairing Achilles tendon rupture in dogs

Allawi¹,

Alkattan²,

Aliraqi³

2019

IJVS

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“…Although recent investigations have demonstrated clinical success with use of US-guided injections for distal bicep tendinopathy [5,6], this article is the first to describe a posterior approach to this area on a live subject, which we believe to be very important for the safe, easy, and effective delivery of the injectate. We believe that a significant risk of injury exists with an anterior approach because of the multiple neurovascular structures in the area and increased difficulty in visualizing the tendon.…”

Section: Discussionmentioning

confidence: 97%

“…However, one set of investigators [4] noted a 27% percent complication rate, with the most common complications being nerve dysfunction and radioulnar synostosis. Use of platelet-rich plasma (PRP) has been reported as a potential alternative treatment for this condition [5,6]; however, an anterior approach has been used to inject the PRP, which increases the chance of a neurovascular injury.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound‐Guided Distal Bicep Tendon Injection Using a Posterior Approach

Mautner

Stafford

Nguyen

2015

PM&R

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Distal biceps tendinopathy is an uncommon but increasingly diagnosed condition in persons with elbow pain. When traditional treatments are unsuccessful, practitioners have performed ultrasound (US)-guided tendon injections in this region using an anterior approach. Although success has been reported with this technique, this approach may lead to neurovascular injury. This case report is the first in the literature to describe a US-guided distal bicep tendon injection using a posterior approach. The patient had an excellent clinical outcome with no adverse events. This outcome suggests that a US-guided posterior percutaneous tendon injection might be a safe, viable, nonsurgical option for recalcitrant distal biceps tendinopathy.

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“…A considerable controversy exists about the long head of the biceps (LHB) tendon roles and functions, but the majority of scientists agree that the function of LHB is in humeral head depression and its anterior stability (1,2). Inflammatory tendinopathy in LHB tendon is one of the most common causes of shoulder pain that mainly induces weakness in forward flexion of the shoulder (2).…”

Section: Introductionmentioning

confidence: 99%

A Randomized Prospective Comparative Study of Four Methods of Biceps Tendonitis Treatment: Ultrasound, Low-Level Laser + Ultrasound, Intra-Sheath, and Extra-Sheath Corticosteroid Guided Injection

et al. 2018

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Background: The aim of this study was to compare the therapeutic effects of four methods of ultrasound (US) alone or in combination with low-level laser therapy (LLLT) (L/US), intra (InCI), and extra (ExCI) sheath US-guided corticosteroid injection in the treatment of long head of the biceps (LHB) tendonitis. Methods: In a randomized clinical trial, patients with LHB tendonitis were enrolled in four groups (US, L/US, InCI, and ExCI). Pain using visual analogue scale (VAS) and shoulder performance according to Constant-Murley score (CMS) were evaluated at five visits of before, one week, one month, three months, and one year after treatment. Results: VAS and CMS scores were improved after treatment in all four groups and at all visits in comparison with before treatment. The VAS score in the one-week visit was lower in the InCI group than in all other groups, but it became similar to the score of the ExCI group after this visit and was significantly lower than the score of the US group one year after treatment. CMS was similar at all visits between InCI and ExCI. At one-week and one-month visits, significant differences were seen between the injection groups and the two other non-injection groups, but at the last visit, CMS of the InCI group was only significantly different from that of the US group. Conclusions: Although intrasheath corticosteroid injection under US guidance is an effective method for the treatment of LHB tendonitis, especially in the 1st week after treatment, extra sheath injection also has acceptable results. Using L/US as a less invasive treatment could be as effective as using corticosteroid injection in long-term.

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Ultrasound-guided platelet-rich plasma injection for distal biceps tendinopathy

Cited by 38 publications

References 24 publications

Clinical and ultrasonographic study of using autogenous venous graft and platelet-rich plasma for repairing Achilles tendon rupture in dogs

Clinical and ultrasonographic study of using autogenous venous graft and platelet-rich plasma for repairing Achilles tendon rupture in dogs

Ultrasound‐Guided Distal Bicep Tendon Injection Using a Posterior Approach

A Randomized Prospective Comparative Study of Four Methods of Biceps Tendonitis Treatment: Ultrasound, Low-Level Laser + Ultrasound, Intra-Sheath, and Extra-Sheath Corticosteroid Guided Injection

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