Ultrasound‐Guided Prolotherapy for Acromial Enthesopathy and Acromioclavicular Joint Arthropathy: A Single‐Arm Prospective Study

Hsieh, Pei-Chun; Chiou, Hong‐Jen; Wang, Hsin‐Kai; Lai, Yi‐Chen; Lin, Yung-Hui

doi:10.1002/jum.14727

Cited by 6 publications

(5 citation statements)

References 27 publications

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“…While they are frequently used to help get athletes through the season, they should not be used in lieu of activity modifications or rehabilitation programs given the risk of continued osteolysis and disease progression (20). Other injection options, such as prolotherapy or autologous adipose-derived mesenchymal stem cell therapy, have been described in the treatment of ACJ pathology, but there are currently no studies supporting their use in isolated DCO (44,45).…”

Section: Role Of Acj Injectionsmentioning

confidence: 99%

A Sports Medicine Clinician’s Guide to the Diagnosis and Management of Distal Clavicular Osteolysis

Singh

Hoo

2023

Curr Sports Med Rep

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Weightlifting associated shoulder injuries have seen a dramatic rise in the last 20 years. Distal clavicular osteolysis, coined weightlifter's shoulder, is one such condition caused by repetitive microtrauma to the distal clavicle with subsequent, painful development of bony erosions and resorption of the distal clavicle. Diagnosis, treatment, and prevention of this condition can be challenging. In this article, we highlight evidence-based clinical recommendations for the diagnosis and management of distal clavicular osteolysis, including specific considerations for atraumatic and posttraumatic etiologies, to help clinicians better care for their patients. Activity modification and rehabilitation are the mainstays of the initial treatment. Adjuvant treatments, such as injections or surgery, may be required in refractory cases or in certain patient populations. Early recognition and treatment of weightlifter's shoulder is essential to prevent progression to acromioclavicular joint pathology or instability and to allow for continued participation in sport-specific activities.

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Section: Role Of Acj Injectionsmentioning

confidence: 99%

A Sports Medicine Clinician’s Guide to the Diagnosis and Management of Distal Clavicular Osteolysis

Singh

Hoo

2023

Curr Sports Med Rep

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“…All of studies reported about good improvement of pain using the VAS score after dextrose prolotherapy treatment. A total of 6 studies reported improvement in supraspinatus tendon tear or pathology [8][9][10][11][12][13], 6 studies reported in Achilles tendon cases [4,[14][15][16][17][18] studies reported improvement in pain VAS score in treatment of patellar tendon, meniscus, acromion enthesopathy, anterior cruciate ligament laxity and anterior tibiofibular ligament injury [19][20][21][22][23].…”

Section: Pain Visual Analog Scale Scorementioning

confidence: 99%

“…There are nine studies (52%) used the concentration of dextrose with 25% [8,9,12,14,16,17,22,23,28] while three studies each used concentrations with 20% [11,15,18] or 15% [19][20][21]. The other two studies used concentrations of 10% [23] and 16.5% [13].…”

Section: Concentration Of Dextrose and Injection Protocolmentioning

confidence: 99%

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Dextrose Prolotherapy for Muscle, Tendon and Ligament Injury or Pathology: A Systematic Review

Рhatomy

Margaretha

Rahmadian

2020

ARRB

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Background: Prolotherapy with dextrose has recently gained attention as a potential treatment for muscle, ligament or tendon pathology/injury. Questions/Purpose: This review aimed to: 1) evaluate the main outcome of dextrose prolotherapy treatment for muscle, ligament or tendon pathology/injury; 2) determine the concentrations of dextrose and protocol of injection; and 3) assess complications or adverse effects after dextrose prolotherapy. Methods: Four electronic databases were searched for related published articles. Articles that met the following criteria were included in this review: 1) articles on peer-reviewed level 1 to 4 studies; 2) articles published in English; 3) articles on dextrose prolotherapy study for tendon or ligament or muscle injury/pathology; and 5) articles that describe dose of dextrose. Published articles that met this inclusion criteria were included in this systematic review. Results: Twenty four studies fulfilled inclusion criteria,consisting of seventeen clinical studies, four animal studies and three invitro studies. Eleven studies reported there were improvement of functional outcome after dextrose prolotherapy. Three Studies reported improvement of patient satisfaction after dextroprolotherapy in supraspinatus tear, Achilles tendinopathy. And patellar tendinopathy, meniscus tear and anterior tibiofibular ligament tear. Three studies reported there are increasing of neovascularization in Achilles tendinopathy and patellar tendinopathy in animal studies, increasing of inflammatory response in animal studies and in vitro studies and increasing of cell proliferation and collagen production. Nine studies (52%) use dextrose 25% concentration. A few adverse effects were reported and minor effect, such as discomfort Minor soreness, extreme pain, skin burns 2nd grade, hypotension, Deep Vein Thrombosis (DVT) ( patient has history DVT). Conclusions: Dextrose Prolotherapy is a potentially effective treatment for patients with muscle, tendon or ligament tear or pathology. Efficacy in long term follow-up, as single therapy or first-line therapy cannot be determined from the current literature.

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“…Smaller studies have given some plausible insight for the use of prolotherapy for the ACJ and complex shoulder injuries, however, there are no larger trials to reinforce these findings. 30,31 Rehabilitation following orthobiologic therapy is described by the American Physical Therapy Association as the integration of interventional orthobiologic techniques coupled with appropriate rehabilitation strategies that harness the healing mechanisms through movements to augment the orthobiologic therapies. 12 The goal of rehabilitation after orthobiologic therapy is to return a patient to optimal function by combining the science and research behind both rehabilitation and regenerative medicine.…”

Section: Introductionmentioning

confidence: 99%

Novel Orthobiologic Preparation and Regenerative Rehabilitation of a Complex Shoulder Injury in a Competitive Adolescent Female Athlete

Escaloni

Mazloomdoost

Young

2023

International Journal of Sports Physical Therapy

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Background Platelet-rich plasma (PRP) and prolotherapy have resulted in promising outcomes in patients with various types of shoulder injuries. However, there is a lack of preliminary evidence supporting preparation of PRP production, timely application of these therapies and regenerative rehabilitation protocols. The purpose of this case report is to describe the distinct method including orthobiologic preparation, tissue-specific treatment and regenerative rehabilitation of an athlete with a complex shoulder injury. Case Presentation A 15y/o competitive female wrestler with a complex shoulder injury presented to the clinic after unsuccessful conservative rehabilitation. Unique methods were incorporated to optimize PRP production, specific tissue healing and regenerative rehabilitation. Multiple injuries required different orthobiologic interventions at different time frames, in order to promote optimal healing and stability of the shoulder. Outcomes The described interventions resulted in successful outcomes including pain, disability, full return to sport, and regenerative tissue healing confirmed with diagnostic imaging. Level of Evidence 5

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Ultrasound‐Guided Prolotherapy for Acromial Enthesopathy and Acromioclavicular Joint Arthropathy: A Single‐Arm Prospective Study

Abstract: Ultrasound-guided prolotherapy with a 15% dextrose solution is an effective and safe therapeutic option for moderate-to-severe acromial enthesopathy and acromioclavicular joint arthropathy.

Cited by 6 publications

References 27 publications

A Sports Medicine Clinician’s Guide to the Diagnosis and Management of Distal Clavicular Osteolysis

A Sports Medicine Clinician’s Guide to the Diagnosis and Management of Distal Clavicular Osteolysis

Dextrose Prolotherapy for Muscle, Tendon and Ligament Injury or Pathology: A Systematic Review

Novel Orthobiologic Preparation and Regenerative Rehabilitation of a Complex Shoulder Injury in a Competitive Adolescent Female Athlete

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