Functional Outcome Assessment of Platelet Rich Plasma Versus Corticosteroid Injection
in the Treatment of Rotator Cuff Injuries
Subitchan Ponnarasu1*, Poojalakshmi U2, Lokesh Sampath3, Anjali Ancy4 and Rohit Koganti5
1Assistant Professor, Department of Orthopaedics, Saveetha Medical College and
Hospital, Kuthambakam, Chennai, Tamilnadu
2Final year MBBS Student, Saveetha medical college and hospital, Kuthambakam, Chennai, Tamilnadu
3Assistant Professor, Department of Orthopaedics, Saveetha Medical College and
Hospital, Kuthambakam, Chennai, Tamilnadu
4Data Engineer, Chennai, Tamilnadu
5Final year MBBS Student, Saveetha Medical College and Hospital, Kuthambakam, Chennai, Tamilnadu
*Corresponding Author: Subitchan Ponnarasu, Assistant Professor, Department of Orthopaedics, Saveetha Medical College and Hospital, Kuthambakam, Chennai, Tamilnadu.
Received:
December 13, 2022; Published: June 12, 2023
Abstract
Introduction:Conventionally local corticosteroid injection is the mainstay treatment in the management of rotator cuff tears. Intra-articular instillation of platelet rich plasma is an upcoming treatment modality in the management of rotator cuff injuries.
Aim: The aim of this study is to compare the functional outcome between platelet rich plasma and corticosteroid injection in rotator cuff injuries.
Methodology: 28 patients with rotator cuff tear who met the inclusion criteria were divided into 2 study groups by simple, random sampling. The first group of patients received 40mg of triamcinolone acetonide. The other group received PRP as intra articular injections. After the procedure the patients were evaluated immediately post intervention and at an interval of 3 weeks, 6 weeks and 12 weeks using the visual analogue scale for pain and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire to assess the functional outcome.
Results: When compared to the baseline (pre intervention), both groups had statistically significant better VAS for pain and DASH score after injection. The PRP group experienced more pain immediately post intervention, but ultimately had better VAS and DASH score at 3, 6, and 12 weeks as compared to the corticosteroids group.
Conclusion: Platelet rich plasma appears to be more effective in the management of rotator cuff tears when compared to corticosteroids.
Keywords:Rotator Cuff Tear; Corticosteroids; Platelet Rich Plasma; PRP; Visual Analogue Scale for Pain (VAS); Disabilities of the Arm; Shoulder and Hand (DASH)
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