A better functional outcome with platelet rich plasma compared with local steroid injection in tennis elbow

A. Anwar, Shilp Verma, A. Agarwal, Ranjeet Choudhary, A. Garg
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Abstract

Lateral epicondylitis commonly referred to as 'tennis elbow,' is mainly observed in the 3rd and 4th decade of life in around 2% -3% of the population. Treatment modalities for lateral epicondylitis include analgesics, immobilization, tennis elbow brace, local steroid infiltration, and ultrasound therapy. Recent studies have explored the effectiveness of platelet-rich plasma (PRP) injections in lateral epicondylitis. We used the block randomization technique. Two groups were prepared with 30 patients in each group. One group of patients received PRP and the other received local steroid injection. Patients were evaluated at the time of procedure and immediately after the procedure, at six weeks, three months, and six months, using the visual analog score and Liverpool's elbow score. At the end of 6 months, follow-up patients in the PRP injection group show good clinical and functional compare to the steroid group of patients. PRP and local corticosteroid injection provide symptomatic relief in the treatment of lateral epicondylitis. PRP infiltration gives better results in pain relief and functional activities with statically significant values when compared with corticosteroid injections.
与局部类固醇注射相比,富血小板血浆治疗网球肘的功能效果更好
外上髁炎通常被称为“网球肘”,主要发生在30岁和40岁左右,约占人口的2% -3%。外上髁炎的治疗方式包括止痛、固定、网球肘支具、局部类固醇浸润和超声治疗。最近的研究探讨了富血小板血浆(PRP)注射治疗外侧上髁炎的有效性。我们使用了分组随机化技术。分为两组,每组30例。一组患者接受PRP治疗,另一组患者接受局部类固醇注射。患者在手术时和手术后立即,在6周,3个月和6个月,使用视觉模拟评分和利物浦肘部评分进行评估。随访6个月时,PRP注射组患者临床及功能均优于类固醇组患者。PRP和局部皮质类固醇注射治疗外上髁炎可缓解症状。与皮质类固醇注射相比,PRP浸润在缓解疼痛和功能活动方面的效果更好,具有统计学意义。
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