دورية أكاديمية
أعرض في EDS

Comparison of efficacy of ultrasound-guided platelet rich plasma injection versus dry needling in lateral epicondylitis-a randomised controlled trial.

التفاصيل البيبلوغرافية
العنوان: Comparison of efficacy of ultrasound-guided platelet rich plasma injection versus dry needling in lateral epicondylitis-a randomised controlled trial.
المؤلفون: Sharma GK; JIPSI (Jaipur Institute of Pain & Sports Injuries), Jaipur, India.; Department of Interventional Radiology and clinical Imaging, The liver unit, Cochin gastroenterology Group, Cochin, India., Patil A; Department of Radiology, Alameen Medical College, Vijayapur, India.; Department of Interventional Radiology and clinical Imaging, The liver unit, Cochin gastroenterology Group, Cochin, India., Kaur P; JIPSI (Jaipur Institute of Pain & Sports Injuries), Jaipur, India.; Department of Interventional Radiology and clinical Imaging, The liver unit, Cochin gastroenterology Group, Cochin, India., Rajesh S; Department of Pain Management, JIPSI (Jaipur Institute of Pain & Sports Injuries), Jaipur, India.; Department of Interventional Radiology and clinical Imaging, The liver unit, Cochin gastroenterology Group, Cochin, India., Drakonaki E; Medical School, University of Crete, Rethymno, Greece., Botchu R; Department of Radiology, Alameen Medical College, Vijayapur, India. drbrajesh@yahoo.com.; Department of Interventional Radiology and clinical Imaging, The liver unit, Cochin gastroenterology Group, Cochin, India. drbrajesh@yahoo.com.; Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Bristol Road South, Northfield, Birmingham, UK. drbrajesh@yahoo.com.
المصدر: Journal of ultrasound [J Ultrasound] 2024 Jun; Vol. 27 (2), pp. 315-321. Date of Electronic Publication: 2024 Feb 23.
نوع المنشور: Journal Article; Randomized Controlled Trial; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Italy NLM ID: 101315005 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1876-7931 (Electronic) Linking ISSN: 18767931 NLM ISO Abbreviation: J Ultrasound Subsets: MEDLINE
أسماء مطبوعة: Publication: 2013: [Milan] : Springer
Original Publication: Milano : Elsevier Masson
مواضيع طبية MeSH: Platelet-Rich Plasma* , Tennis Elbow*/therapy , Tennis Elbow*/diagnostic imaging , Dry Needling*/methods , Ultrasonography, Interventional*/methods, Humans ; Female ; Male ; Middle Aged ; Single-Blind Method ; Adult ; Treatment Outcome ; Pain Measurement
مستخلص: Purpose: To assess whether Ultrasound guided dry needling is adequate for both common extensor tendon tears and tendinosis or whether ultrasound guided platelet rich plasma (PRP) has a superior outcome when compared to dry needling when there are tears of the common extensor tendon.
Materials and Methods: This is a single-centre, single-blinded, randomised controlled trial conducted between November 2018 and April 2020. 40 patients diagnosed with lateral epicondylitis based on clinical and sonographic features and having comparable baseline characteristics were randomly assigned to the two study groups (dry needling and PRP). Inclusion criteria were patients aged 20 years or more who were symptomatic for at least 3 months with sonographic evidence of lateral epicondylitis. Exclusion criteria were complete tear of common extensor tendon confirmed on ultrasound and presence of other associated diseases like osteoarthritis of shoulder and elbow.
Results: There was significant improvement in the visual analogue scale pain score in PRP group compared to the dry needling group at 9 months. However, this difference was not evident at 3 and 6 months follow-up. Mean improvement in common extensor tendon thickness in PRP group (5.1 mm at 3 months and 4.3 mm at 6 months) was slightly better than dry needling (4.4 mm at 3 months and 4.0 mm at 6 months). There was no difference in tear (if present) healing between both groups at 3 months. However at 6 months follow up, PRP demonstrated significant (mean-2.5) healing in tear compared to dry needling (mean-3.1).
Conclusion: Two injections of Ultrasound guided PRP are more beneficial non operative treatment compared to ultrasound guided dry needling, in lateral epicondylitis.
(© 2024. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)
References: Am J Sports Med. 2005 Oct;33(10):1558-64. (PMID: 16199610)
J Clin Diagn Res. 2015 Jul;9(7):RC05-7. (PMID: 26393174)
J Hand Surg Am. 2008 Jul-Aug;33(6):909-19. (PMID: 18656765)
Hand Clin. 2009 Aug;25(3):331-8. (PMID: 19643333)
Int J Mol Sci. 2016 Jul 02;17(7):. (PMID: 27384560)
Am J Sports Med. 2011 Jun;39(6):1200-8. (PMID: 21422467)
Int J Clin Pract. 2007 Feb;61(2):240-6. (PMID: 17166184)
J Hand Surg Am. 2012 Jun;37(6):1208-10. (PMID: 22459658)
J Bone Joint Surg Am. 1979 Sep;61(6A):832-9. (PMID: 479229)
Clin Sports Med. 2009 Jan;28(1):113-25. (PMID: 19064169)
Arch Phys Med Rehabil. 2008 Apr;89(4):738-42. (PMID: 18374006)
Am J Sports Med. 2006 Nov;34(11):1774-8. (PMID: 16735582)
Lancet. 2010 Nov 20;376(9754):1751-67. (PMID: 20970844)
J Orthop Traumatol. 2016 Jun;17(2):101-12. (PMID: 26362783)
BMJ. 2006 Nov 4;333(7575):939. (PMID: 17012266)
Surg Endosc. 2007 Nov;21(11):2063-8. (PMID: 17436045)
Hand (N Y). 2014 Dec;9(4):419-46. (PMID: 25414603)
Br J Sports Med. 2011 Oct;45(13):1068-76. (PMID: 21543346)
Radiology. 2005 Oct;237(1):230-4. (PMID: 16118152)
Am J Sports Med. 2010 Feb;38(2):255-62. (PMID: 20448192)
Rev Bras Ortop. 2016 Jan 13;51(1):90-5. (PMID: 26962506)
Clin Orthop Relat Res. 2007 Oct;463:98-106. (PMID: 17632419)
Skeletal Radiol. 2013 Nov;42(11):1515-20. (PMID: 23912197)
JAMA. 1992 Feb 12;267(6):838-42. (PMID: 1732657)
Orthop J Sports Med. 2017 Dec 06;5(12):2325967117742077. (PMID: 29238734)
Br J Sports Med. 2014 Jun;48(12):952-6. (PMID: 24563387)
J Cutan Aesthet Surg. 2014 Oct-Dec;7(4):189-97. (PMID: 25722595)
Curr Rev Musculoskelet Med. 2020 Feb;13(1):133-140. (PMID: 31942676)
فهرسة مساهمة: Keywords: Dry needling; Elbow; Platelet-rich plasma; Tendinopathy; Tendons; Tennis elbow
تواريخ الأحداث: Date Created: 20240223 Date Completed: 20240614 Latest Revision: 20240726
رمز التحديث: 20240727
مُعرف محوري في PubMed: PMC11178710
DOI: 10.1007/s40477-023-00846-9
PMID: 38393452
قاعدة البيانات: MEDLINE
الوصف
تدمد:1876-7931
DOI:10.1007/s40477-023-00846-9