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العنوان
Ultrasound-Guided Sub- acromial Injection in Rotator Cuff Tendinopathy /
المؤلف
Abo-Teba, Hossam Mohamed Houd.
هيئة الاعداد
باحث / حسام محمد هود أبو طيبة
مشرف / طاهر عبدالستار عيد
مشرف / عادل ابراهيم الصعيدى
مشرف / رشا يسرى صالح
الموضوع
Orthopedic Surgery.
تاريخ النشر
2022.
عدد الصفحات
105 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
23/9/2022
مكان الإجازة
جامعة المنوفية - كلية الطب - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

from 115

from 115

Abstract

Rotator cuff tendinopathy (RCT) is a leading cause of shoulder
pain , disability and loss of work. A combination of some extrinsic and
intrinsic factors are responsible for the development of RCT which begin
with acute tendinitis and then progress to chronic tendinosis and partial
tears. The final stage is full-thickness tears of the tendon.
Conservative treatment is the primary line of management of
Rotator cuff tendinopathy.
In our study we evaluate clinical, functional and radiological
outcomes of ultra-sound guided sub-acromial injection of platelet-rich
plasma versus steroid for management of rotator cuff tendinopathy.
Platelet-Rich Plasma ”PRP” is a fraction of whole blood that
contains a concentrated amount of platelets above the baseline. Upon
activation, these platelets release a large proportion of biologically active
factors that are thought to accelerate and improve the healing process.
The total number of participants in this study was 50 patients above
18 yrs old with rotator cuff tendinopathy which divided in two groups.
Group(A) :twenty five of patients will be manged by ultrasound
guided sub-acromial injection of PRP.
group (B):twenty five of patients will be managed by ultrasounded
guided sub-acromial injection with steroid. After a mean follow up period
of six months these cases were assessed according to (UCLA) scoring
system. Results were graded as the following:In group A: excellent (60% or more), good ( 30%), poor(10%). In group B : good (30%), poor (70%).
Excellent and good results were considered as satisfactory results
indicating patient’s satisfaction regarding function and clinical
improvement. poor results were considered unsatisfactory results.
Other methods of evaluation included ROM, Functional exercise
tests, MRI evaluation and VAS of pain.
Methods of evaluation included: UCLA score of pain, Clinical
Data including ROM and Functional exercise tests, Imaging evaluation,
Functional Outcome Measures and Statistical Analysis.