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REVIEW ARTICLE
Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 16-19

Platelet-rich plasma for shoulder joint


Department of Pain Medicine, Daradia Pain Clinic, Kolkata, West Bengal, India

Correspondence Address:
Khaja J Khan
Department of Pain Medicine, Daradia Pain Clinic, Kolkata, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0125

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Introduction: Shoulder pain is a common and disabling complaint. The reported annual incidence of shoulder pain in primary care is 14.7 per 1000 patients per year with a lifetime prevalence of up to 70%. The most common causes of shoulder pain are rotator cuff tendinopathy, frozen shoulder or adhesive capsulitis and acromioclavicular (AC) joint osteoarthritis. Glenohumeral joint arthritis is uncommon. Discussion: Platelet rich plasma (PRP) is plasma that contains higher than physiologic platelet content. It has been seen that these growth factors are markedly up-regulated following tendon injury and are active at multiple stages of the healing process. Platelet rich plasma is an autologous source of growth factors and has been found to be helpful for treatment of tendinopathies and osteoarthritis. Platelet rich plasma injections for shoulder joint pathologies can be done using either fluoroscopy or by ultrasound guidance. Conclusion: Fluoroscopic guided PRP injection is better than ultrasound guidance as it helps to inject PRP with a single needle prick at three sites including glenohumoral joint, supraspinatous tendon and acromioclavicular joint.


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