دورية أكاديمية
Comparison of efficacy of ultrasound-guided platelet rich plasma injection versus dry needling in lateral epicondylitis-a randomised controlled trial.
العنوان: | Comparison of efficacy of ultrasound-guided platelet rich plasma injection versus dry needling in lateral epicondylitis-a randomised controlled trial. |
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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).) |
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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 |
تدمد: | 1876-7931 |
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DOI: | 10.1007/s40477-023-00846-9 |