الفهرس | Only 14 pages are availabe for public view |
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. |