PM&R
Volume 1, Issue 4 , Pages 366-370 , April 2009

Platelet-Rich Plasma Compared with Corticosteroid Injection for Chronic Lateral Elbow Tendinosis

  • Allan Mishra, MD (Guest Discussant)

      Affiliations

    • Menlo Medical Clinic, Adjunct Clinical Assistant Professor of Orthopedic Surgery, Department of Orthopaedic Surgery, Stanford University School of Medicine, Menlo Park, CA†
    • ,
  • Herve Collado, MD (Guest Discussant)

      Affiliations

    • Department of Medicine & Rehabilitation, University Hospital, Marseille, France, Division of Physical Medicine & Rehabilitation, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA‡
    • ,
  • Michael Fredericson, MD (Senior Editor)

      Affiliations

    • Professor, Division of Physical Medicine & Rehabilitation, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA§
    • Corresponding Author InformationAddress correspondence to: M.F.

References 

    Allan Mishra, MD, Responds
  1. Jobe FW, Ciccotti MG. Lateral and medial epicondylitis of the elbow. J Am Acad Orthop Surg. 1994;2:1–8
  2. Hill J, Trapp R, Colliver J. Survey on the use of corticosteroid injections by orthopedists. Contemp Orthop. 1989;18:39–45
  3. Assendelft WJ, Hay EM, Adshead R, Bouter LM. Corticosteroid injections for lateral epicondylitis: A systematic overview. Br J Gen Pract. 1996;46:209–216
  4. Nichols AW. Complications associated with the use of corticosteroids in the treatment of athletic injuries. Clin J Sport Med. 2005;15:370–375
  5. Hugate R, Pennypacker J, Saunders M, Juliano P. The effects of intratendinous and retrocalcaneal intrabursal injections of corticosteroid on the biomechanical properties of rabbit Achilles tendons. J Bone Joint Surg Am. 2004;86-A:794–801
  6. Lucarelli E, Beccheroni A, Donati D, et al. Platelet-derived growth factors enhance proliferation of human stromal stem cells. Biomaterials. 2003;24:3095–3100
  7. Schnabel LV, Mohammed HO, Miller BJ, et al. Platelet rich plasma (PRP) enhances anabolic gene expression patterns in flexor digitorum superficialis tendons. J Orthop Res. 2007;25:230–240
  8. Aspenberg P, Virchenko O. Platelet concentrate injection improves Achilles tendon repair in rats. Acta Orthop Scand. 2004;75:93–99
  9. Virchenko O, Aspenberg P. How can one platelet injection after tendon injury lead to a stronger tendon after 4 weeks? (Interplay between early regeneration and mechanical stimulation). Acta Orthop. 2006;77:806–812
  10. Kajikawa Y, Morihara T, Sakamoto H, et al. Platelet-rich plasma enhances the initial mobilization of circulation-derived cells for tendon healing. J Cell Physiol. 2008;215:837–845
  11. Mishra A, Pavelko T. Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. Am J Sports Med. 2006;34:1774–1778
  12. Gosens T, Sluimer J. Prospective randomized study on the effect of autologous platelets injection in lateral epicondylitis compared with corticosteroid injection. Poster presented at: 13th Congress of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA); May 21-24, 2008; Porto, Portugal. Poster P25-P444.
  13. Sánchez M, Anitua E, Azofra J, Andía I, Padilla S, Mujika I. Comparison of surgically repaired Achilles tendon tears using platelet-rich fibrin matrices. IS J Sports Med. 2007;35:245–251
  14. Randelli PS, Arrigoni P, Cabitza P, Volpi P, Maffulli N. Autologous platelet rich plasma for arthroscopic rotator cuff repair (A pilot study). Disabil Rehabil. 2008;30:1584–1589
  15. Mishra A, Woodall J, Vieira A. Treatment of tendon and muscle using platelet-rich plasma. Clin Sports Med. 2009;28:113–125
    Herve Collado, MD, and Michael Fredericson, MD, Respond
  1. Smidt N, van der Windt DA, Assendelft WJ, Devillé WL, Korthals-de Bos IB, Bouter LM. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: A randomized controlled trial. Lancet. 2002;359:657–662summary for patients in Aust J Physiother 2002;48:239
  2. Assendelft WJ, Rikken SAJJ, Mel M, et al. NHG guidelines for epicondylitis. Huisarts Wet. 1997;40:21–26
  3. Assendelft WJ, Hay EM, Adshead R, Bouter LM. Corticosteroid injections for lateral epicondylitis: A systematic overview. Br J Gen Pract. 1996;46:209–216
  4. Lewis M, Hay EM, Paterson SM, Croft P. Local steroid injections for tennis elbow: Does the pain get worse before it gets better? (Results from a randomized controlled trial). Clin J Pain. 2005;21:330–334
  5. Smidt N, Assendelft WJ, van der Windt DA, Hay EM, Buchbinder R, Bouter LM. Corticosteroid injections for lateral epicondylitis: A systematic review. Pain. 2002;96:23–40
  6. Tonks JH, Pai SK, Murali SR. Steroid injection therapy is the best conservative treatment for lateral epicondylitis: A prospective randomized controlled trial. Int J Clin Pract. 2007;61:240–246
  7. Pienimäki T, Karinen P, Kemilä T, Koivukangas P, Vanharanta H. Long-term follow-up of conservatively treated chronic tennis elbow patients (A prospective and retrospective analysis). Scand J Rehabil Med. 1998;30:159–166
  8. Ilfeld FW. Can stroke modification relieve tennis elbow?. Clin Orthop Relat Res. 1992;(276):182–186
  9. De Smedt T, de Jong A, Van Leemput W, Lieven D, Van Glabbeek F. Lateral epicondylitis in tennis: Update on aetiology, biomechanics and treatment. Br J Sports Med. 2007;41:816–819
  10. Giangarra CE, Conroy B, Jobe FW, et al. Electromyographic and cinematographic analysis of elbow function in tennis players using single- and double-handed backhand strokes. Am J Sports Med. 1993;21:394–399
  11. Price R, Sinclair H, Heinrich I, Gibson T. Local injection treatment of tennis elbow—hydrocortisone, triamcinolone and lignocaine compared. Br J Rheumatol. 1991;30:39–44
  12. Frontera WR, Silver JK, Rizzo TD. Essentials of Physical Medicine and Rehabilitation (Musculoskeletal Disorders, Pain, and Rehabilitation). In: 2nd ed.. Philadelphia: W.B. Saunders; 2008;p. 105–108
  13. Croisier JL, Foidart-Dessalle M, Tinant F, Crielaard JM, Forthomme B. An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy. Br J Sports Med. 2007;41:269–275
  14. Kibler WB. Clinical biomechanics of the elbow in tennis: Implications for evaluation and diagnosis. Med Sci Sports Exerc. 1994;26:1203–1206
  15. Fleisig G, Nicholls R, Elliott B, Escamilla R. Kinematics used by world-class tennis players to produce high-velocity serves. Sports Biomech. 2003;2:51–64
  16. Altay T, Günal I, Oztürk H. Local injection treatment for lateral epicondylitis. Clin Orthop Relat Res. 2002;(398):127–130
  17. Nichols AW. Complications associated with the use of corticosteroids in the treatment of athletic injuries. Clin J Sport Med. 2005;15:370–375
  18. Nirschl RP, Pettrone FA. Tennis elbow (The surgical treatment of lateral epicondylitis). J Bone Joint Surg Am. 1979;61:832–839
  19. Mishra A, Pavelko T. Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. Am J Sports Med. 2006;34:1774–1778
  20. Connell DA, Ali KE, Ahmad M, Lambert S, Corbett S, Curtis M. Ultrasound-guided autologous blood injection for tennis elbow. Skeletal Radiol. 2006;35:371–377
  21. Edwards SG, Calandruccio JH. Autologous blood injections for refractory lateral epicondylitis. J Hand Surg [Am]. 2003;28:272–278
  22. Nirschl RP. Elbow tendinosis/tennis elbow. Clin Sports Med. 1992;11:851–870
  23. Scarpone M, Rabago DP, Zgierska A, Arbogast G, Snell E. The efficacy of prolotherapy for lateral epicondylosis: A pilot study. Clin J Sport Med. 2008;18:248–254

PII: S1934-1482(09)00160-9

doi: 10.1016/j.pmrj.2009.02.010

PM&R
Volume 1, Issue 4 , Pages 366-370 , April 2009

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