Comparative Analysis on Efficacy of Injection Methyl Prednisolone vs Autologous PRP in Adhesive Capsulitis/Peri Arthritis/Frozen Shoulder
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Date
2019-07
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Ibn Sina Academy of Medieval Medicine & Sciences
Abstract
Background: Shoulder pain is a common cause of morbidity inthe community & most common cause of the pain includedegenerative disease affecting the glenohumeral andacromioclavicular joints & supporting soft tissue structure. Theapplication of intraarticular corticosteroid injection is one of thecommonly used approaches in PA shoulder. Hence, weconducted a study to investigate the effectiveness of PRP(Platelet Rich Plasma) compared with local corticosteroidinjection on Frozen shoulder (Peri Arthritis) & the possiblebenefit of one method over the other.Materials and Methods: The study was conducted in theDepartment of Orthopaedics, North DMC Medical College andHindurao Hospital, Delhi (India) over a period of 24 monthsfrom June 2017 to June 2019. A total of 60 subjects more than18 years of age were included in the study and divided intoGroup A-receiving PRP and Group B receivingmethylprednisolone. Clinical assessment was made beforeinjection 1 month, 2 month and 6 months following injectionand consisted of pain and function assessment on QUICKDASH-9 and Visual Analogue Scale. All the data thus obtainedwas arranged in a tabulated form and analyzed using SPSSsoftware.Results: The mean age in the PRP group was 50.600±5.47 &the mean age in steroid group was 52.93±4.47. The rightside was affected more in both PRP group (n=17) and steroid(n=19). The p value of 0.598 suggest no significant differenceof affected side in both groups. There was a significantdifference in VAS between Month and 2 month & 6 month. Andthere was a significant difference in VAS between 2 month and6 month. The outcome was excellent amongst 10% subjects,Good amongst 66.67% subjects, fair amongst 13.33% subjectsand poor amongst 10% patients.Conclusion: Both PRP (Platelet Rich Plasma) & Steroidshowed equal effectiveness in treating frozen shoulder.
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Keywords
Effectiveness, Platelet, Pain, Shoulder, Visual
Citation
Kumar Sanjeev, Singh Piyush Pushkar. Comparative Analysis on Efficacy of Injection Methyl Prednisolone vs Autologous PRP in Adhesive Capsulitis/Peri Arthritis/Frozen Shoulder. International Journal of Medical Research Professionals. 2019 Jul; 5(4): 278-281