الفهرس 
Abstract
Relevant Anatomy of the ShoulderOnly 14 pages are availabe for public view
 |  | from | 247 |  |  |
| | | from | 247 | | |
Abstract
Background: Shoulder pain is the third most common musculoskeletal reason for seeking medical care affecting between 7% and 26% of adults at any time. Rotator cuff disease is the most common cause of shoulder pain seen by physicians. Despite the insufficient evidence, due to potential contribution to the improvement, Platelet Rich Plasma (PRP) is emerging as a promising method.
Aim: This work aimed to assess the effect of PRP injections under musculoskeletal ultrasound guidance in patients with rotator cuff tendinopathy, and partial thickness tear in comparison with those who received a well-established rehabilitation program only, at baseline assessment and after three months using clinical, functional and ultrasonographic evaluation.
Patients and methods: Our study included 60 patients with rotator cuff tendinopathy (RCT) diagnosed both clinically and by Musculoskeletal Ultrasound (MSUS). We randomly gave 30 patients a supervised rehabilitation program, and the other 30 patients were injected with PRP. Patients in both groups were assessed clinically (ROM and special tests), functionally [Visual Analog Scale (VAS), Western Ontario Rotator Cuff Index (WORC) and Shoulder Pain and Disability Index (SPADI)] and sonographically. Patients were assessed at baseline and after 3 months of physical therapy treatment or injection of PRP.
Results: Stasistical analysis was made to 60 patients (PRP group, n= 30; Rehabilitation group, n=30). Intragroup analysis showed statistical significant difference in both groups at follow up compared to baseline regarding clinical, functional and radiological data. Intergroup analysis showed more significant results in PRP group regarding clinical, functional, and sonographic outcomes (p <0.0001).
Conclusion: Single PRP injection is an effective mean of treatment of RCT as it improves patients’ quality of life clinically, functionally and sonographically, in contrary to traditional physical therapy program.
Keywords: Rotator cuff, Platelet-rich plasma, Subacromial impingement syndrome, Shoulder pain.