Introduction: Lateral epicondylitis (LE) is a painful condition of the elbow, resulting from non-inammatory tendinopathy along the extensor origin of the lateral epicondyle. PRP and ESWT are commonly used therapies for the treatment of chronic lateral epicondylitis. But the superiority of treatment over one another is not known. This study is conducted to compare between platelet rich plasma injection and ESWT therapy in the improvement of pain and function in chronic lateral epicondylitis. Materials and Methods: A randomized controlled study was conducted in Department of Sports Medicine, Imphal on patients with chronic lateral epicondylitis comparing the effectiveness of PRP (Study group) and ESWT(control group). Data were collected from a sample size of 84 patients fullling the inclusion criteria. Analysis was done by using mean, SD, chi square test and independent t-test. Results: VAS and DASH score were used as outcome measures which was measured at baseline, 4 weeks,12 weeks and 24 weeks. VAS score improved from 7.13 ± 0.48 to 3.25 ± 1.20 and DASH score improved from 88± 0.9 to 34.16± 0.6 in the study group at 24 weeks follow up. Conclusion:There was signicant improvement in all outcome measures with p-value of <0.05 in study group. Hence, PRP is a promising technique for the treatment of chronic lateral epicondylitis.

Background: Ankle sprain is the most common injury in the world of sports and anterior talofibular ligament (ATFL) is most commonly affected. It is often underestimated, mismanaged and often result in delayed treatment, prolonged recovery times and long-term sequela. PRP may have enhancing effect on healing of partial tear of ATFL. Thus, the purpose of this study is to determine the role of PRP on partial tear of ATFL. Methods: A randomized controlled trail was done among athletes with partial tear of ATFL who visited Department of Sports Medicine, RIMS, Imphal during January 2021 – June 2022. Patients with MRI diagnosed partial tear of ATFL (N=48) randomized into PRP injection plus rehabilitation, (n=24) and rehabilitation alone, (n=24) groups. The outcomes were compared using Foot and Ankle Disability Index (FADI) score for function and Visual analogue scale for pain at baseline, 2nd, 6th, 12th and 24th weeks respectively. Results: Baseline characteristics were not statistically significant. There was statistically significant improvement seen in within the group comparison from baseline to 2nd, 6th, 12th and 24th weeks in both FADI and VAS in both the groups. There were statistically significant difference in mean changes of VAS and FADI score between the two groups from baseline to 2nd (p=0.007);(p=0.012), 6th (p=0.018);(p=0.009) and 12th (p=0.004); (p=0.001) follow-ups respectively with PRP group having more improvement however no significant difference at 24th weeks. Conclusion: Ultrasound guided PRP injection along with standard rehabilitation program might be a treatment of choice for partial ATFL tear. Keywords: ATFL tear, PRP, FADI, VAS, USG-guided.

Football is one of the most popular sports in Manipur. Ankle joint is frequently injured in contact sports like football. Syndesmotic ankle sprains are less common than typical ankle sprain; but are associated more often with significant morbidity and need for surgical treatment. It leads to prolonged loss of sports activities. Fracture of fibula is commonly associated with syndesmotic disruption. Here we present three cases of syndesmotic disruption with distal fibular fracture in football players presented to Sports Medicine OPD RIMS. They have presented with pain and swelling around the ankle joint following twisting injuries. Diagnosis was made from X-ray findings correlated with clinical examinations. All are treated surgically by open reduction and internal fixation with syndesmotic screw fixation, but one case without syndesmotic screw fixation. The patients followed an early functional rehabilitation program followed by sports specific exercises. They have returned to their previous sports activity within 6 months. Keywords: Football, Syndesmotic ankle sprains, Distal fibula Fracture