Influence of Acromial Morphologic Characteristics and Acromioclavicular Arthrosis on the Effect of Platelet-Rich Plasma on Partial Tears of the Supraspinatus Tendon

Berná-Mestre, Juan de Dios; Fernández, Carmen Cagigas; Carbonell, Guillermo; García, A. Fernández; García-Vidal, José Antonio; Mirapeix, F Medina i; Berná-Serna, Juan de Dios

doi:10.2214/ajr.19.22331

Cited by 3 publications

(4 citation statements)

References 33 publications

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“…19 Some studies have reported promising results when examining the effect of PRP in chronic tendinopathies. 16,[20][21][22][23][24][25] In a study comparing PRP with blinded sham saline injections, de Vos 26 and colleagues reported significant improvement in both saline and PRP groups that slightly favored the PRP subjects but not by a statistically significant margin. However, saline injection may not be the best control group because it is likely active for tendinopathy; injecting saline into the tendon alters the pressure-volume relationship in a given space, thereby disrupting pathologic vascular and neural ingrowth.…”

Section: Achilles Tendon Backgroundmentioning

confidence: 99%

“…Most recent studies suggest that a single infiltration with 1 mL PRP is enough. 16,22,25 Fig. 10 Equipment preparation for platelet-rich plasma (PRP).…”

Section: Platelet-rich Plasma Injectionmentioning

confidence: 99%

“…19 Some studies have reported promising results when examining the effect of PRP in chronic tendinopathies. 16 20 21 22 23 24 25…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonography-guided Intervention in the Achilles Tendon and Plantar Fascia

Martin,

Moriñigo

2023

Semin Musculoskelet Radiol

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Tendinopathy is very common in the foot and ankle. Achilles tendinopathy is a painful overuse injury that often occurs in athletes, especially those who participate in running and jumping sports. Plantar fasciitis is the most frequent cause of plantar pain in the adult heel. Initial treatment of these conditions is conservative. However, in some cases symptoms only improve slowly, and many cases are intractable. When conservative management fails, ultrasonography guided injections are indicated. We discuss the main interventions performed in the foot and ankle for Achilles tendinopathy, retrocalcaneal bursitis, and plantar fasciitis. We describe the different agents that can be used and the various ultrasonography-guided procedures that offer technical and practical information to improve daily clinical practice.

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Section: Achilles Tendon Backgroundmentioning

confidence: 99%

“…Most recent studies suggest that a single infiltration with 1 mL PRP is enough. 16,22,25 Fig. 10 Equipment preparation for platelet-rich plasma (PRP).…”

Section: Platelet-rich Plasma Injectionmentioning

confidence: 99%

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Ultrasonography-guided Intervention in the Achilles Tendon and Plantar Fascia

Martin,

Moriñigo

2023

Semin Musculoskelet Radiol

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“…9,10 When X-ray examination of the shoulder joint, in patients over 50 years old, for various pathologies of the shoul-der joint, arthrosis of the clavicular-acromial joint manifests itself in 54%-57% of patients. 11 Unfortunately, during the surgical repair of a partial rupture of the supraspinatus tendon, most doctors do not pay attention to exist arthrosis of the clavicular-acromial joint, and this leads to appear chronic pain syndrome in the shoulder and clavicular-acromial joints in most due to the overload of the latter. 12,13 According to our data, arthrosis of the clavicular-acromial joint is one of the most common causes of pain in the shoulder joint during rehabilitation in patients after a suture of a partial rupture of the tendon of the supraspinatus muscle of the shoulder.…”

Section: Introductionmentioning

confidence: 99%

Results of treatment of arthrosis of the acromial-clavicular joint in patients with partial rupture of the supraspinatus muscle tendon

et al. 2021

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Introduction: Very often, partial tear tendons of the superficial shoulder muscle are combined with arthrosis of the clavicular-acromial joint. This is due to violations of the shoulder-patch rhythm, which in turn leads to a chronic overload of the clavicular-acromial joint and the progression of arthrosis in this joint. Aim: The purpose of the study is to improve the results of treatment of patients with injuries of the supraspinatus tendon against the background of deforming arthrosis of the clavicular-acromial joint. Material and methods: For the study a clinical group was assembled, which consisted of 84 patients with injuries of the tendon of the supraspinatus and deforming arthrosis of the clavicular-acromial joint 3–4 parts. All patients, depending on the treatment, were divided into two groups. Results and discussion: The consequences and influence of the arthrosis of the clavicular-acromial joint were determined. Movements of the joint were examined. The shoulder joint function was under control in the post-surgery period, which provided particular results and conclusions according to the comparative analysis of the two groups. Conclusions: Based on the provided results, it can be concluded that deforming arthrosis of the clavicular acromial joint can cause contracture in the shoulder joint in patients after the suture of the tendon of the abdominal muscle.

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Injection of autologous conditioned plasma combined with a collagen scaffold may improve the clinical outcome in shoulder impingement syndrome: a prospective study

Halm-Pozniak,

Lohmann,

Awiszus

et al. 2023

Eur J Orthop Surg Traumatol

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Background Shoulder impingement syndrome (SIS) is one of the most common diseases of the shoulder and can be addressed with various therapeutic concepts. Orthobiological agents such as platelet rich plasma with a low side effect rate gain importance in the conservative treatment of SIS. Currently, the knowledge about success rate influencing factors, such as the growth factors (GF) concentration or acromion type, is limited. The aim of this study was to analyze the clinical outcome in the therapy of external SIS using autologous conditioned plasma combined with recombinant human collagen scaffold (ACP/STR) injection in comparison with a corticosteroid-local anesthetic (CSA) injection. Additionally, the influence of potential limiting factors such as GF concentration, age and acromial morphology was proved. Materials and methods This prospective pseudo-randomized trial recruited 58 patients with external SIS who received an ultrasound-guided subacromial injection either an ACP/STR or a CSA followed by physical therapy. Follow-up (FU) was performed at 6 weeks, 3 and 6 months. The outcome was assessed with Constant–Murley score, disability of arm, shoulder and hand score and simple shoulder test. The concentration of GF was measured using ELISA. Results During the FU, the improvement of outcome measures was observed with no differences between both groups. Shoulder force was significantly increased in the ACP/STR group (p < 0.01). We found no correlation between the amount of GF and age or gender in the ACP/STR patients. An acromion Bigliani type III predisposes for therapy failure (p < 0.001, OR = 56) in both treatment groups. Conclusions Patients with SIS benefit regarding to PROMs after both ACP/STR and CSA injection and physical therapy. Patients who received ACP/STR obtained superior improvement in force. The quantity of GF did not vary depending on the age, so that ACP/STR can be a treatment option for SIS in elderly patients with multimorbidity. The presence of an acromion type III seems to be a predictive factor for limited effectivity of injections in the clinical management of SIS.

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Influence of Acromial Morphologic Characteristics and Acromioclavicular Arthrosis on the Effect of Platelet-Rich Plasma on Partial Tears of the Supraspinatus Tendon

Cited by 3 publications

References 33 publications

Ultrasonography-guided Intervention in the Achilles Tendon and Plantar Fascia

Ultrasonography-guided Intervention in the Achilles Tendon and Plantar Fascia

Results of treatment of arthrosis of the acromial-clavicular joint in patients with partial rupture of the supraspinatus muscle tendon

Injection of autologous conditioned plasma combined with a collagen scaffold may improve the clinical outcome in shoulder impingement syndrome: a prospective study

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