{"id":408,"date":"2019-12-05T02:14:57","date_gmt":"2019-12-05T02:14:57","guid":{"rendered":"https:\/\/drnat.com\/nd\/?p=408"},"modified":"2019-12-05T02:26:35","modified_gmt":"2019-12-05T02:26:35","slug":"prp-and-elbow-9","status":"publish","type":"post","link":"https:\/\/drnat.com\/nd\/prp-and-elbow-9\/","title":{"rendered":"Arthroscopic Debridement Versus Platelet-Rich Plasma Injection: A Prospective, Randomized, Comparative Study of Chronic\u00a0Lateral Epicondylitis\u00a0With a Nearly 2-Year Follow-Up."},"content":{"rendered":"
Arthroscopy.<\/a> 2017 Apr 19. pii: S0749-8063(17)30176-7. doi: 10.1016\/j.arthro.2017.02.009. [Epub ahead of print]<\/div>\n
Merolla G<\/a>1, Dellabiancia F<\/a>2, Ricci A<\/a>3, Mussoni MP<\/a>4, Nucci S<\/a>4, Zanoli G<\/a>5, Paladini P<\/a>3, Porcellini G<\/a>3.<\/div>\n
\n

Author information<\/a><\/h3>\n
 <\/div>\n<\/div>\n
\n

Abstract<\/h3>\n
\n

PURPOSE:<\/h4>\n

The purpose of this prospective, randomized study was to compare the efficacy of autologous platelet-rich plasma (PRP) injections and arthroscopic lateral release in treating chronic lateral epicondylitis (LE).<\/p>\n

METHODS:<\/h4>\n

Patients who had a clinical diagnosis of LE confirmed by ultrasound (US) were included in this study. A total of 101 patients received arthroscopic release (n = 50) or US-guided PRP injections (n = 51). Outcomes were assessed using a visual analog scale for pain, the Patient-Rated Tennis Elbow Evaluation (PRTEE), and a calibrated hand dynamometer for grip strength.<\/p>\n

RESULTS:<\/h4>\n

Both patient groups experienced significant improvement in all measures. Between-group comparisons showed a significantly higher value in the PRP group only for grip strength at week 8 (P = .0073); all other significant differences were in favor of arthroscopy: overall pain (P = .0021), night pain (P = .0013), and PRTEE score (P = .0013) at week 104 and grip strength at weeks 24, 52, and 104 (all P < .0001). Consumption of rescue pain medication was not significantly different between the groups.<\/p>\n

CONCLUSIONS:<\/h4>\n

The present findings suggest that (1) PRP injections and arthroscopic extensor carpi radialis brevis release are both effective in the short and medium term; (2) PRP patients experienced a significant worsening of pain at 2 years; (3) arthroscopic release ensured better long-term outcomes in terms of pain relief and grip strength recovery; and (4) both procedures were safe and well accepted by patients. LEVEL OF EVIDENCE: Level II, prospective comparative study.<\/p>\n

Copyright \u00a9 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Arthroscopy. 2017 Apr 19. pii: S0749-8063(17)30176-7. doi: 10.1016\/j.arthro.2017.02.009. [Epub ahead of print] Merolla G1, Dellabiancia F2, Ricci A3, Mussoni MP4, Nucci S4, Zanoli G5, Paladini P3, Porcellini G3. Author information   Abstract PURPOSE: The purpose of this prospective, randomized study was to compare the efficacy of autologous platelet-rich plasma (PRP) injections and arthroscopic lateral release in treating chronic lateral epicondylitis (LE). 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