Comparison of the effects of sodium hyaluronate-chondroitin sulphate and corticosteroid in the treatment of lateral epicondylitis: a prospective randomized trial

Tosun, Hacı Bayram; Gümüştaş, Seyitali; Agir, Ismail; Uludağ, Abuzer; Serbest, Sancar; Ertem, Kadir

doi:10.1007/s00776-015-0747-z

Cited by 27 publications

(28 citation statements)

References 25 publications

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“…Only one RCT and few level IV trials investigated the possible role of HA in epicondylitis (Tab. III) 68,94,95 . These studies are heterogeneous for methodologies neither use US-guidance.…”

Section: Lateral Epicondylitismentioning

confidence: 99%

“…Evidence on clinical efficacy for HA in human insertional tendon disorders is limited at four studies, although results are promising 68,94,149,150 (Tab. XI).…”

Section: Ha In Trigger Finger Entesopathies and Bursitismentioning

confidence: 99%

“…In the selected studies HA and local anesthetics have been used in association to other drugs, so it is difficult to establish the clinical efficacy of this combined therapy, whether the outcome was favorable for combined treatment groups 148,149,157 . Level of recommendation: C.…”

Section: Association With Local Anestheticsmentioning

confidence: 99%

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I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines

Frizziero

Vittadini

Oliva

et al. 2019

Muscle Ligaments and Tendons J

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“…Only one RCT and few level IV trials investigated the possible role of HA in epicondylitis (Tab. III) 68,94,95 . These studies are heterogeneous for methodologies neither use US-guidance.…”

Section: Lateral Epicondylitismentioning

confidence: 99%

“…Evidence on clinical efficacy for HA in human insertional tendon disorders is limited at four studies, although results are promising 68,94,149,150 (Tab. XI).…”

Section: Ha In Trigger Finger Entesopathies and Bursitismentioning

confidence: 99%

See 1 more Smart Citation

I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines

Frizziero

Vittadini

Oliva

et al. 2019

Muscle Ligaments and Tendons J

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“…Есть сообщения о положительных результатах применения инъекций гиалуроновой кислоты в комбинации с хондроитин сульфатом, где авторы выявили более высокую эффективность на 3 и 6 мес. в сравнении с кортикостероидами [10]. Широкое применение получила ударно-волновая терапия (УВТ), использование которой позволяет добиться положительных результатов в лечении эпикондилита [11].…”

Section: Introductionunclassified

Platelet-rich plasma use for shoulder epicondylitis treatment

Ochkurenko

Savelyev

Savel’ev³

et al. 2020

Priorov J. of Traum. & Orthoped.

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Epicondylitis is the most common cause of elbow pain, affecting up to 3,0% of the adult population. A comparative study of platelet-rich plasma (BTP) and betamethasone (diprospan) in the treatment of epicondylitis of the shoulder. 50 patients received injections of betamethasone 2-fold with an interval of 14 days. The main group-50 patients received 2 injections of BTP with an interval of 14 days. The results were evaluated using the psychometric scale Patient-Rated Tennis Elbow Evaluation (PRTEE) after 1, 6 and 12 months. Patients receiving Betamethasone showed the lowest level of pain after 1 month, with a gradual tendency to reduce the clinical effect after 6 months and the increase in clinical symptoms of the disease after 12 months. after treatment. The clinical effect after the use of BTP increases to 6 months with a slight tendency to reduce the effect to 12 months. Our studies have shown a high, up to 86,0% effectiveness of the applied methods of treatment of internal and external epicondylitis of the shoulder using PRP in comparison with glucorticosteroids.

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“…Nonoperative treatment includes rehabilitative resistance exercise with progression of the exercise program,10 corticosteroid injection,12 autologous blood injection,13 extracorporeal shock wave therapy,14 botulinum toxin injection,15 and hyaluronic acid with chondroitin sulfate injection 16. Platelets, an important reservoir of growth factors in the body, play an important role in many processes such as coagulation, immune response, angiogenesis, and the healing of damaged tissues.…”

Section: Introductionmentioning

confidence: 99%

A comparative study to evaluate the efficacy of platelet-rich plasma and triamcinolone to treat tennis elbow

Seetharamaiah

Gantaguru

Basavarajanna

2017

IJOO

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Background:Lateral elbow pain is common with a population prevalence of 1%–3%. The study was a comparative trial to validate the efficacy of single injection of platelet-rich plasma (PRP) for tennis elbow as compared with single injections of triamcinolone and placebo (normal saline) over a short term period.Materials and Methods:Comparative trial with 3- and 6-month followup evaluated with visual analog scale (VAS) and facial pain scale (FPS). Our study included a total of eighty patients with unilateral or bilateral tennis elbows. The study population included patients between 20 and 40 years age group belonging to either sex with seventy unilateral and ten bilateral affections for more than 3-month duration. Patients suffering from elbow pain due to other problems or those who have received any form of injection were excluded from the study. One milliliter of 2% Xylocaine injection was given before injecting the proposed formulation under trial. VAS and FPS were used for scoring pain. Kruskal–Wallis test and Mann–Whitney U-tests were used for statistical analyses at 12 and 24 weeks.Results:Overall, 49 females and 31 males were included with thirty elbows in each group. Both the PRP and triamcinolone groups had better pain relief at 3 and 6 months as compared to normal saline group (P < 0.05), but at 6 months followup, the PRP group had statistically significant better pain relief than triamcinolone group. In the triamcinolone group, 13 patients had injection site hypopigmentation and 3 patients had subdermal atrophy.Conclusion:Over a short term period, PRP gives better pain relief than triamcinolone or normal saline in tennis elbow which needs to be validated over long term period by further studies.

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Comparison of the effects of sodium hyaluronate-chondroitin sulphate and corticosteroid in the treatment of lateral epicondylitis: a prospective randomized trial

Cited by 27 publications

References 25 publications

I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines

I.S.Mu.L.T. Hyaluronic acid injections in musculoskeletal disorders guidelines

Platelet-rich plasma use for shoulder epicondylitis treatment

A comparative study to evaluate the efficacy of platelet-rich plasma and triamcinolone to treat tennis elbow

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