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Clin Shoulder Elb > Volume 14(2); 2011 > Article
Clinics in Shoulder and Elbow 2011;14(2):153-158.
DOI:    Published online December 31, 2011.
Comparative Studies of Platelet-Rich Plasma (PRP) and Prolotherapy for Proximal Biceps Tendinitis
Young Lae Moon, Sang Ho Ha, Young Kwan Lee, Yi Kyu Park
Department of Orthopaedic Surgery, College of Medicine, Chosun University, Gwangju, Korea.
상완 이두근 장두건 염에 대한 혈소판 농축 혈장을 이용한 치료와 증식요법의 비교
조선대학교 의과대학 정형외과학교실
This research sought to study Platelet-Rich Plasma therapy (PRP) and prolotherapy for shoulder pain and dysfunction related to symptomatic biceps tendinopathy, and to judge effective results. MATERIALS AND METHODS: We selected 100 cases that had significant inflammatory effusion of the biceps tendon (that was shown on MRI), and was refractory to conservative treatment. The cases were followed up for more than one year and were divided into 2 groups. The 1st group received PRP therapy; the 2nd group received prolotherapy under sonographic guidance. We evaluated results for visual analog score (VAS), (Korean Shoulder Society Score (KSS), UCLA Score, Constant Shoulder Score (CSS) for 12 months.
There was no significant difference between the 2 groups in the first month after the procedure. However, in the third, sixth, and twelfth months after the procedure, the 1st group showed significant improved results for VAS, KSS, UCLA, and CSS scores compared to the 2nd group (p<0.05).
Among nonsurgical treatments, both PRP and prolotherapy could be effective against biceps tendinopathy. But, PRP treatment is considered as more reliable method than prolotherapy for maintaining effective results.
Key Words: Shoulder; Proximal biceps tendinitis; Platelet-Rich Plasma (PRP); Prolotherapy
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