Functional outcome and results of Platelet rich plasma (PRP) in Rotator Cuff Tendinopathy

Dr Deepak Chaudhary; Dr Kumar Rohit; Dr Rajeshwar Kalla

Volume : V, Issue : I, January - 2016

Functional outcome and results of Platelet rich plasma (PRP) in Rotator Cuff Tendinopathy

Dr Deepak Chaudhary, Dr Kumar Rohit, Dr Rajeshwar Kalla

Abstract :

Objective: To assess functional outcome & results of injection of platelet rich plasma (PRP) in rotator cuff tendinopathy (RCT). Design: Prospective clinical study with 3 months of follow–up. Methods: Clinically proven twenty patients of rotator cuff tendinopathy (RCT) participating in study included in study according to inclusion and exclusion criteria on OPD basis after getting written and informed consent , treated by 4 mL of autologous PRP intra lesionally by single author* and in surrounding tendons, evaluation of functional outcome and results done by visual analog scale (VAS) 0–10 points (at baseline, 1 month and 3 months interval) and functional shoulder tests assessing rotator cuff strength and endurance (at baseline, 1 month and 3 months interval). Results: Twenty patients participated in study and reported improvement in VAS score from 7.8�0.6 points pretreatment level to 0.6�0.4 points at three months post PRP injection follow up, improvement in functional outcome was also clinically as well as statistically significant eg Empty cane test in seconds till fatigue improved from 54.5�7.6 pretreatment to 75.9�9.7 at three months follow–up, Drop arm test in seconds till fatigue improved from 41.7�7.5 pretreatment to 78.6�11.9 at three months follow–up, Theta band external rotation at 90� in seconds till fatigue improved from 31.2�5.5 pretreatment to 64.7�7.4 at three months follow–up , Mean analgesic use declined from 8.6�2.03 units/ week pretreatment level to 1.1�1.3 units/week at three month post PRP injection followup. Conclusions: A single injection of autologous PRP is safe and effective mean of treatment of refractory Rotator Cuff Tendinopathy