Elbow
Learn about regenerative therapy for elbow problems.
Tennis Elbow – PRP
Comparing leukocyte-rich platelet-rich plasma injection with surgical intervention for the management of refractory tennis elbow. A prospective randomised trial – read now.
Quick summary: Comparison of PRP and open surgery in tennis elbow show that surgery may result in less pain at 12 months, and 70% of PRP patients avoided surgery.
Full summary: 81 patients (52 completed final follow up), 41 patients to open surgery release and 40 patients to L-PRP, functional and pain scores improved in both groups, surgery may result in lower pain scores at 12 months, 70% of patients treated with PRP avoided surgical intervention.
Tennis Elbow – PRP
Role of Platelet Rich Plasma in the Treatment of Tennis Elbow: A Prospective Study – read now.
Quick summary: PRP has a similar rate of success as surgery with lower cost and less risk for treatment of tennis elbow. There was a significant decrease pain in a group of 100 patients, 81% with excellent results.
Full summary: 100 patients (20-50 yo), Results were excellent in 81%, good in 16%, fair in 2% and poor in 1%. The mean VAS decreased continuously and significantly up to 8 months. Based on this study, it can be recommended to treat patients with PRP before considering surgical intervention primarily because it provides a similar rate of success with lower cost and less risk.
Elbow Tendinopathy – PRP
Effectiveness of Lateral Elbow Tendinopathy Treatment Depends on the Content of Biologically Active Compounds in Autologous Platelet-Rich Plasma – read now.
Quick summary: After treatment of lateral elbow tendinopathy with PRP, patient-rated pain decreased and patients reported improvement in elbow function from 47.50% before to 73.77% after PRP.
Full summary: 30 patients, The DASH score decreased by 12.50 (SD = 10.71, p ≤ 0.001) and 22.11 points (SD = 16.52, p ≤ 0.001) after one and three months, respectively. The PRTEE score decreased by 17.25 (SD = 15.06, p ≤ 0.001) and 27.28 (SD = 21.28, p ≤ 0.001) points after one and three months, respectively. The SEV showed a significant increase from 47.50% (SD = 17.36) before treatment to 67.17% (SD = 14.84, p ≤ 0.001) after one month, and 73.77% (SD = 21.04, p ≤ 0.001) at the final follow-up.
Elbow Ligament Injury – PRP
Can platelet-rich plasma therapy save patients with ulnar collateral ligament tears from surgery? Read now.
Quick summary: 26/30 baseball players were able to return to sport with a pre-injury level of play and decreased pain within 6 months of a PRP injection for ulnar collateral ligament tears.
Full summary: 34 baseball players with partial or complete UCL tears confirmed by MRI, 26/30 athletes were able to return to sport with pre-injury level of play within six months after the procedure, at an average time of 12.4 weeks (range: 10–18). 4 subjects needed surgical treatment for persistent UCL insufficiency, the average VAS and DASH scores improved from 53.5 to 17.2 (p < 0.0001) and from 81.7 to 24.2 (p < 0.0001), respectively. The average ulnohumeral joint space opening with valgus stress decreased from 3.81 mm to 3.45 mm (p = 0.018). effective treatment especially to proximal tears.
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