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The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review

(1) Background: Even though rotator cuff tears are the most frequent tendon injuries in adults, the effectiveness of conservatively treated partial-thickness tears still remains a matter of debate. The purpose of this review is to compare corticosteroid injections to other drugs in the treatment of...

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Autores principales: Giovannetti de Sanctis, Edoardo, Franceschetti, Edoardo, De Dona, Ferdinando, Palumbo, Alessio, Paciotti, Michele, Franceschi, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7795404/
https://www.ncbi.nlm.nih.gov/pubmed/33375716
http://dx.doi.org/10.3390/jcm10010051
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author Giovannetti de Sanctis, Edoardo
Franceschetti, Edoardo
De Dona, Ferdinando
Palumbo, Alessio
Paciotti, Michele
Franceschi, Francesco
author_facet Giovannetti de Sanctis, Edoardo
Franceschetti, Edoardo
De Dona, Ferdinando
Palumbo, Alessio
Paciotti, Michele
Franceschi, Francesco
author_sort Giovannetti de Sanctis, Edoardo
collection PubMed
description (1) Background: Even though rotator cuff tears are the most frequent tendon injuries in adults, the effectiveness of conservatively treated partial-thickness tears still remains a matter of debate. The purpose of this review is to compare corticosteroid injections to other drugs in the treatment of partial rotator cuff tears, focusing on the effectiveness of this therapeutic modality in terms of pain and shoulder functionality. (2) Methods: A systematic electronic search was performed using the PubMed (MEDLINE), EMBASE and Cochrane Library databases. All studies comparing the use of corticosteroids and other infiltrative techniques in the treatment of partial lesions (excluding studies that considered subacromial impingement as inclusion criteria) were pooled, data were extracted and statistically analyzed. (3) Results: Nine studies were included in this systematic review. Those studies, composed by a total of 494 shoulders treated, have been published from 1985 to 2019. All compared techniques have shown a significant improvement over baseline condition. PRP (Platelet Rich Plasma) injections have been shown to be significantly more effective in both functional and pain control only in the long term. (4) Conclusions: None of the techniques prevail indisputably on the others. Anyway, the treatment of partial rotator cuff tears with PRP injections seems to lead to significantly better outcomes in terms of pain and shoulder function in long term follow up. Whereas in short and medium term follow up, PRP injections was superior only in terms of shoulder function. The small number of studies on prolotherapy did not enable us to provide an opinion on the outcomes of this technique.
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spelling pubmed-77954042021-01-10 The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review Giovannetti de Sanctis, Edoardo Franceschetti, Edoardo De Dona, Ferdinando Palumbo, Alessio Paciotti, Michele Franceschi, Francesco J Clin Med Review (1) Background: Even though rotator cuff tears are the most frequent tendon injuries in adults, the effectiveness of conservatively treated partial-thickness tears still remains a matter of debate. The purpose of this review is to compare corticosteroid injections to other drugs in the treatment of partial rotator cuff tears, focusing on the effectiveness of this therapeutic modality in terms of pain and shoulder functionality. (2) Methods: A systematic electronic search was performed using the PubMed (MEDLINE), EMBASE and Cochrane Library databases. All studies comparing the use of corticosteroids and other infiltrative techniques in the treatment of partial lesions (excluding studies that considered subacromial impingement as inclusion criteria) were pooled, data were extracted and statistically analyzed. (3) Results: Nine studies were included in this systematic review. Those studies, composed by a total of 494 shoulders treated, have been published from 1985 to 2019. All compared techniques have shown a significant improvement over baseline condition. PRP (Platelet Rich Plasma) injections have been shown to be significantly more effective in both functional and pain control only in the long term. (4) Conclusions: None of the techniques prevail indisputably on the others. Anyway, the treatment of partial rotator cuff tears with PRP injections seems to lead to significantly better outcomes in terms of pain and shoulder function in long term follow up. Whereas in short and medium term follow up, PRP injections was superior only in terms of shoulder function. The small number of studies on prolotherapy did not enable us to provide an opinion on the outcomes of this technique. MDPI 2020-12-25 /pmc/articles/PMC7795404/ /pubmed/33375716 http://dx.doi.org/10.3390/jcm10010051 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Giovannetti de Sanctis, Edoardo
Franceschetti, Edoardo
De Dona, Ferdinando
Palumbo, Alessio
Paciotti, Michele
Franceschi, Francesco
The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review
title The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review
title_full The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review
title_fullStr The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review
title_full_unstemmed The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review
title_short The Efficacy of Injections for Partial Rotator Cuff Tears: A Systematic Review
title_sort efficacy of injections for partial rotator cuff tears: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7795404/
https://www.ncbi.nlm.nih.gov/pubmed/33375716
http://dx.doi.org/10.3390/jcm10010051
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