Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Comparative Study of Local Injection of Platelet Rich Plasma Versus Corticosteroids in the Treatment of Lateral Epicondylitis (Tennis Elbow)
M. Mohamed Syed Moosa, Zakir Hussain Mohamed, K.C. Mathew and Mohamed Sheriff
Page: 253-257 | Received 23 Apr 2024, Published online: 14 Jun 2024
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Abstract
Lateral epicondylitis, commonly referred to as ‘tennis elbow’ is seen to affect 1% to 3% of the general population in the 3rd and 4th decade of life. The pathogenesis of lateral epicondylitis is overuse injury, result from cumulative micro trauma that weakens the structural and vascular elements of the tendon. Lateral epicondylitis is commonly encountered problem in orthopaedic general practice. Various treatment have been used in its management including analgesics, elbow bracing, local corticosteroid injection, ultra sound therapy and newer modalities like injecting Platelet Rich Plasma. To study and compare the functional and subjective outcomes in the patients with lateral epicondylitis treated with corticosteroid injections and platelet rich plasma. To compare the effect of corticosteroid injections and platelet rich plasma in lateral epicondylitis. A Comparative Prospective Study, conducted in the Department of Orthopaedics, Sree Mookambika Institute of Medical Sciences, the duration of study is 6 months (April 2022 to September 2022). Patients with symptoms and signs suggestive of Lateral Epicondylitis of more than three months duration not subsiding with rest or analgesics were taken 30‐70 years. Symptoms and signs suggestive of unilateral or bilateral Tennis Elbow (unresponsive to treatment with NSAIDs and immobilization) of more than 3 months duration. Age matched with cases, with similar symptoms. Patients with trauma to the affected elbow, patients who underwent surgeries in the affected elbow, patients with degenerative elbow joint diseases, patients with tumors in the affected elbow. patients who have undergone the treatments included in the study were excluded. At the end of 6 months the functional outcome of the patients underwent steroid injection was, 75% showed excellent to good outcome, 15% showed fair outcome and 10% showed poor outcome and for the PRP group the functional outcome was, 90% had excellent to good outcome and 10% had fair outcome and there is no poor outcome. Both PRP and corticosteroids were effective in the treatment of lateral epicondylitis but PRP proved to be more effective modality in the treatment of lateral epicondylitis with a significantly better functional outcome and better pain relief. PRP provide the long term effective when compared with corticosteroid injection for lateral epicondylitis. On the contrary, PRP injection is costly, as compared to steroid injection. However, a longer study with bigger sample size is needed to compare the effectiveness of PRP.
How to cite this article:
M. Mohamed Syed Moosa, Zakir Hussain Mohamed, K.C. Mathew and Mohamed Sheriff. Comparative Study of Local Injection of Platelet Rich Plasma Versus Corticosteroids in the Treatment of Lateral Epicondylitis (Tennis Elbow).
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.253.257
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.253.257