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Lateral Epicondylitis Treated with Platelet-Rich Plasma Injection and Corticosteroid Injection.
Krishnan, M Sowbhikh; Ashwin, V Y; Pandian, Haemanath; Kumar, K V Arun; Sheik, Mohideen; Dondapati, Ashwini.
Afiliación
  • Krishnan MS; Department of Orthopaedic Surgery, Chettinad Hospital and Research Institute, Rajiv Gandhi Salai, Kanchipuram, Tamil Nadu, India.
  • Ashwin VY; Department of Orthopaedic Surgery, Chettinad Hospital and Research Institute, Rajiv Gandhi Salai, Kanchipuram, Tamil Nadu, India.
  • Pandian H; Department of Orthopaedic Surgery, Chettinad Hospital and Research Institute, Rajiv Gandhi Salai, Kanchipuram, Tamil Nadu, India.
  • Kumar KVA; Department of Orthopaedic Surgery, Chettinad Hospital and Research Institute, Rajiv Gandhi Salai, Kanchipuram, Tamil Nadu, India.
  • Sheik M; Department of Orthopaedic Surgery, Chettinad Hospital and Research Institute, Rajiv Gandhi Salai, Kanchipuram, Tamil Nadu, India.
  • Dondapati A; Department of Orthopaedic Surgery, Chettinad Hospital and Research Institute, Rajiv Gandhi Salai, Kanchipuram, Tamil Nadu, India.
J Orthop Case Rep ; 14(9): 202-207, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39253646
ABSTRACT

Introduction:

Lateral epicondylitis, or tennis elbow, affects 1%-3% of adults aged 35-50, causing pain and weakness in the dominant elbow due to chronic inflammation of the extensor tendon. While corticosteroid injections (CSI) are commonly used for treatment, they offer only short-term relief. Platelet-rich plasma (PRP) is a promising alternative with potential for long-term benefits. This study compares the efficacy of PRP and CSI in treating lateral epicondylitis. Materials &

Methods:

A randomized controlled trial was conducted at Chettinad Hospital and Research Institute from February 2020 to March 2021, involving patients with lateral epicondylitis unresponsive to non-invasive treatments. Patients were randomly assigned to receive either PRP or CSI, with pre- and post-treatment pain and function assessed using VAS, PSFS, and PRTEE scores.

Results:

PRP showed better long-term pain reduction and functional improvement than CSI. At 6 months, PRP-treated patients had significantly lower VAS and PRTEE scores, indicating superior outcomes.

Discussion:

Although CSI provided quicker initial relief, PRP demonstrated sustained benefits at 3 and 6 months. PRP's effectiveness in promoting tissue healing may explain its long-term success.

Conclusion:

PRP is more effective than CSI for long-term management of lateral epicondylitis, offering superior pain relief and functional improvement.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Case Rep Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Case Rep Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India