Utilidad de la infiltración ecoguiada de plasma rico en plaquetas en roturas parciales del tendón supraespinoso

Abstract

Introduction: The pathology of the shoulder has a high prevalence and supposes an enormous sanitary cost. Platelet-rich plasma (PRP) has spread in recent years for the treatment of different musculoskeletal pathologies, however, it has not been supported by scientific evidence. Our objective is to evaluate the mobility and pain in the shoulder before and after the infiltration of PRP in the partial ruptures of the supraspinatus tendon (TSE), as well as the changes in the size of the tendon lesion. Methods: This is a prospective study that includes a consecutive form patients with partial rotation of the TSE refers to the musculoskeletal section of the Radiodiagnosis Service of the HCUVA, for the ultrasound-guided infiltration of PRP, from May 2015 to January 2018 Clinical and ultrasound control was performed 3 months after infiltration. Results: the treatment obtained an overall improvement of the pain in all the maneuvers used (anterior and posterior application and Yocum), as well as the increase of the mobility of the joint, especially in the patients with the loading work, absence of impingement subacromial and In joint surface breaks. A reduction in the anteroposterior and longitudinal size of the ruptures and a disappearance of SASD bursitis was observed globally. Conclusion: A global form of shoulder mobility and a reduction in pain has been found, as well as a decrease in the size of the rotation and the disappearance of subdeltoid bursitis after infiltrating PRP. The exception was patients with type 3 acromion.