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Extracorporeal Shock Wave Therapy versus Platelet-rich Plasma Injection for the Treatment of Lateral Epicondylitis: A Prospective Randomized Clinical Trial
Journal of the Korean Society for Surgery of the Hand ; : 241-246, 2011.
Artículo en Coreano | WPRIM | ID: wpr-191375
ABSTRACT

PURPOSE:

To compare clinical outcomes of extracorporeal shockwave therapy and platelet-rich plasma injection for the treatment of lateral epicondylitis of the elbow. MATERIALS AND

METHODS:

Consecutive patients with a lateral epicondylitis who had refractory elbow pain more than 6 months and no response to treatment more than 3 months were recruited for this study. Diagnosis was made on the basis of physical examination and ultrasound imaging study. Prospective randomized trial was performed between two treatment groups; extracorporeal shockwave therapy versus platelet-rich plasma injection. Fifty patients for each group were allocated based on the results of power analysis. Disabilities of arm, shoulder and hand (DASH) scores obtained before treatment and at 1 year after the last treatment were compared between two groups.

RESULTS:

Both groups showed significant improvement of DASH scores after treatment. The patients who had platelet-rich plasma injection showed significantly greater improvement of DASH scores (from 37.0 to 11.1) than the patients who had extracorporeal shockwave therapy (from 41.9 to 29.9).

CONCLUSION:

Better subjective outcomes can be expected after platelet-rich plasma injection compared with extracorporeal shockwave therapy in patients with a refractory lateral epicondylitis.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Examen Físico / Brazo / Choque / Hombro / Estudios Prospectivos / Codo / Plasma Rico en Plaquetas / Mano Tipo de estudio: Ensayo Clínico Controlado / Estudio observacional Límite: Humanos Idioma: Coreano Revista: Journal of the Korean Society for Surgery of the Hand Año: 2011 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Examen Físico / Brazo / Choque / Hombro / Estudios Prospectivos / Codo / Plasma Rico en Plaquetas / Mano Tipo de estudio: Ensayo Clínico Controlado / Estudio observacional Límite: Humanos Idioma: Coreano Revista: Journal of the Korean Society for Surgery of the Hand Año: 2011 Tipo del documento: Artículo