Comparative Effectiveness of Ultrasound-Guided Intratendinous Prolotherapy Injection with Conventional Treatment to Treat Focal Supraspinatus Tendinosis

omuz Scientifica 2018 · PMID 30057849

To evaluate the efficacy of dextrose prolotherapy injection for focal supraspinatus rotator cuff tendinosis via outcomes such as functional score, range of movement, and real-time ultrasound parameters. 12 adult patients with focal supraspinatus tendinosis recruited after they had less than 30% improvement in functional (DASH) scores after one month of physiotherapy following initial presentation. Seven patients had 0.5-1.0 ml of prolotherapy injection (12.5% dextrose, 0.5% lignocaine) injected into the area of focal tendinosis under ultrasound guidance. Meanwhile, five patients continued standard physiotherapy with no intervention performed. Regional area of echogenicity in decibels, DASH, range of movements of the shoulder, pain, and sleep scores were measured at baseline and at 12 weeks. The prolotherapy group showed significant improvement in shoulder abduction (p=0.030) and an improvement in sleep score (p=0.027). The echogenicity of area of tendinosis significantly increases at the end of treatment (p=0.009). However, there was a nonsignificant reduction in pain score in the injection group (43.5%) and in the control group (25%) at 12 weeks (p > 0.005). Ultrasound-guided intratendinous prolotherapy injection significantly improves patient's range of abduction and improves sleep within 12 weeks of treatment compared to conventional physiotherapy management. This study was registered under Current Controlled Trials (UK) and given International Standard Randomised Controlled Trial Number (ISRCTN) of 43520960.

bu makaleden üretilen sorular (5)

omuz orta

Rotator cuff proloterapisi oncesi norovaskuler yapilardan kacinmak icin gorüntuleme planlaniyor.

Rotator cuff proloterapisinde igne yerlesimi ve norovaskuler yapilardan kacinmak icin standart olarak onerilen goruntuleme yontemi nedir?

cevabı gör

doğru cevap: Ultrason kilavuzlugu (in-plane, kisa eksen), power Doppler ile damar tarama

açıklama: Ultrason kilavuzlugu (in-plane, kisa eksen) standart olarak onerilir; enjeksiyon oncesi power Doppler ile damar yapilari taranmalidir.

Wu WT et al., Ultrasound-guided interventions for painful shoulder: from anatomy to evidence, J Pain Res 2018 PMID 30349357 · Chang KV et al. (Comparative US-guided intratendinous prolotherapy supraspinatus tendinosis), 2018 PMID 30057849

omuz zor

Fokal supraspinatus tendinozunda intratendinoz proloterapi uygulanacak.

Fokal supraspinatus tendinozunda intratendinoz proloterapide tipik olarak kullanilan igne kalinligi ve volum nedir?

cevabı gör

doğru cevap: 21-23 G, 0.5-2 mL

açıklama: Intratendinoz proloterapide 21-23 G (40 mm) igne kisa eksen in-plane yaklasimla hipoekoik tendon icine ilerletilir; %12.5-25 dekstroz, 0.5-2 mL tek seans uygulanir.

US-guided intratendinous prolotherapy vs conventional Rx for focal supraspinatus tendinosis, 2018 PMID 30057849 · US-guided prolotherapy supraspinatus vs corticosteroid subacromial bursa RCT, Adv Biomed Res 2021 PMID 34195156

omuz orta

Intratendinoz supraspinatus proloterapisinde igne yolu hazirlaniyor.

Fokal supraspinatus intratendinoz proloterapide igne hangi yaklasimla ve hangi doku icine ilerletilir?

cevabı gör

doğru cevap: Kisa eksen in-plane, hipoekoik tendon icine

açıklama: Igne kisa eksen in-plane yaklasimla hipoekoik supraspinatus tendonu icine ilerletilir ve enjeksiyon oncesi lokal anestezikle igne yolu infiltre edilir.

omuz orta

Rotator cuff proloterapisinde hedef yapilar belirleniyor.

Rotator cuff proloterapisinde en sik hedeflenen tendon entezi hangisidir?

cevabı gör

doğru cevap: Supraspinatus

açıklama: Hedef yapilar supraspinatus (en sik), infraspinatus ve subskapularis tendon entezleri ile posterior glenohumeral eklem kapsulu/ligamanlaridir.

US-guided intratendinous prolotherapy focal supraspinatus tendinosis, 2018 PMID 30057849 · Michalak N et al., Dextrose Prolotherapy Shoulder Hypermobility Case Series, 2024 PMID 39055287

omuz zor

Supraspinatus tendon patolojisinin lokalizasyonu degerlendiriliyor.

Vaka serilerine gore supraspinatus tendon lezyonlari cogunlukla hangi yuzde yer alir?

cevabı gör

doğru cevap: Artikuler yuzde (%63.6)

açıklama: Supraspinatus patolojisi cogunlukla anterior ve artikuler yuzde yer alir; lezyonlarin %63.6'si artikuler yuzdedir.

US-guided intratendinous prolotherapy focal supraspinatus tendinosis, 2018 PMID 30057849 · Michalak N et al., Dextrose Prolotherapy Shoulder Hypermobility Case Series, 2024 PMID 39055287

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