Volume 24, Issue 103, May - June, 2020

Clinical evaluation of partial Supraspinatus tears managed with Platelet Rich Plasma

Niharika Kochhal¹, Rahul Thakur², Vasant Gawande^3♦

¹Final year MBBS student, Jawaharlal Nehru Medical College, Sawangi, Email: nihharikakochhal1996@gmail.com
²Senior Resident, Jawaharlal Nehru Medical College, Sawangi, Acharya Vinoba Bhave Rural Hospital, Sawangi, Email: drrahul.thakur03@gmail.com
³Associate Professor, Jawaharlal Nehru Medical College, Sawangi, Acharya Vinoba Bhave Rural Hospital, Sawangi, Email: docvasant@gmail.com

^♦Corresponding author
Associate Professor, Jawaharlal Nehru Medical College, Sawangi, Acharya Vinoba Bhave Rural Hospital, Sawangi, India. Email: docvasant@gmail.com

ABSTRACT

Introduction: According to the World Health Organization (WHO), musculoskeletal injuries are the most common cause for severe long-term pain and physical disability and affect hundreds of millions of people around the world. The continued popularity of sporting activities has brought with it an epidemic of musculoskeletal disorders focusing attention on tendons and ligaments. Tendon injuries in the shoulder account for overuse injuries in sports as well as in jobs that require repetitive activity. The role of platelet rich plasma in partial Supraspinatus tears has not been studied exclusively. Therefore, we have designed our study for the clinical evaluation of partial supraspinatus tears managed with Platelet Rich Plasma. Methodology: We conducted a study at the Orthopaedics department of A.V.B.R.H, Sawangi. Prior to study initiation, the protocol and informed consent documents were taken by the Institutional Ethics Committee. Written informed consent was obtained from each study participant. We assessed all the patients who have been enrolled in AVBRH. The patients were screened with USG/MRI scan for partial supraspinatus tears, after documentation of a clinical and radiological diagnosis, the patient was subjected to 2ml of PRP injection under USG guidance. Subsequent follow up was on 3rd and 6th weeks. Results: out of 50 patients included in the study, 36% (18) were males and 64% (32) were females. The age distribution shows a higher rate of incidence after the age of 40. The clinical test for the partial tear of Supraspinatus i.e. abduction strength test was positive for 80% of cases which was further confirmed by usg/mri. The diagnostic criteria were USG for majority of the patients (70%) because of the cost affordability and criteria of diagnosis. Conclusion: The current investigation represents clinically based outcome study to evaluate and compare the effectiveness of treating partial supraspinatus tears with USG guided PRP infiltration. Our observation and results suggest that this treatment may be an effective and safe treatment option for patients presenting with partial supraspinatus tears. The patients showed better improvement in terms of relief from pain, restoration of mobility and duration of time required for clinical improvement with local infiltration of platelet rich plasma. However, it can also be concluded that the platelet rich plasma can be a good treatment option for the patients with partial supraspinatus tears.

Keywords: supraspinatus tears, musculoskeletal disorders, platelet, plasma

Medical Science, 2020, 24(103), 1295-1301

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