Ultrasound-guided platelet-rich plasma injection versus steroids injection for pain relief in partial rotator cuff tears

ABSTRACT

Background

Platelet-rich plasma injection has become an effective treatment for partial rotator cuff tears. This study evaluates the efficacy of PRP versus steroids injection in pain relief for partial rotator cuff tears.

Study design

Prospective clinical trial.

Setting

Alexandria Main University Hospital.

Patients and methods

Sixty patients with symptomatic partial RCTs undergoing US-guided subacromial injection were randomly allocated into two equal groups: either steroids or PRP. Pain score, shoulder function, failure rate after injection, and complications were recorded.

Results

VAS score was significantly lower in the steroid group at week 2 follow-up than the PRP group (p 0.001). However, it was shorter, extended for 8 weeks in steroid in comparison to 4 months in PRP group. There was an insignificant difference among groups in the simple shoulder test at 2 and 4 weeks follow-up, and the test was significantly higher in PRP group at 6, 8, 12 weeks, and 4 month follow-up (P = 0.049, 0.001, 0.001, 0.001). Pain did not improve in six patients in steroid group and one patient in PRP group. Pain on injection was reported by six patients in the steroid group and 13 patients in PRP group (p = 0.052). Elevated blood sugar was significantly higher in the steroid group after the injection (p 0.001).

Conclusion

Subacromial PRP injection may have a prolonged analgesic effect and superior shoulder functional improvement than steroids in patients with partial RCTs.

KEYWORDS:

• Platelet-Rich plasma
• rotator cuff tears
• steroids

Disclosure statement

No potential conflict of interest was reported by the author(s).

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This research involved only patient charts. An institutional permission was approved to the study prior to submission for publication.

Informed consent

Individual patient consent was taken prior to the procedure.

Authors’ contributions

Dorreya M. Fikry: the principal investigator and senior author, revising the whole manuscript.

Tarek M. Sarhan: senior author, revising the whole manuscript.

Mohamed M. El Sawy: methodology section, PRP preparation.

Moutaz E. Elabbasy: data analysis, writing revision and figure formatting.

Radwa S. Raslan: scientific writing and data analysis and reference styling.