Ribeiro Arthur de Góes, Ricioli Walter, Silva Alice Roxo Nobre Sousa E, Polesello Giancarlo Cavalli, Guimarães Rodrigo Pereira
. Irmandade da Santa Casa de Misericórdia de São Paulo, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.
. Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.
Acta Ortop Bras. 2016 Jul-Aug;24(4):208-212. doi: 10.1590/1413-785220162404159837.
To compare the efficacy of platelet rich plasma (PRP) against corticosteroid on the treatment of trochanteric pain syndrome
From July 2011 to November 2012, eighteen patients (20 hips) with trochanter pain syndrome were randomized in two groups and treated with platelet rich plasma or triamcinolone infiltration guided by ultrasound. Pain and function were evaluated prior to the intervention and after 10, 30 and 60 days, through the Facial Expressions Scale for Pain and the Western Ontario McMaster and Harris Hip Score questionnaires. Inter-group analysis was performed by Student t-test and intragroup analysis by ANOVA, followed by Bonferroni post hoc test. Statistical significance was set at p <0.05
There was no difference between the groups. The triamcinolone group showed pain reduction (p=0.004) and improved function (p=0.036) through the Harris Hip Score questionnaire at 10, 30 and 60 days after treatment, when compared with the pre- intervention period. The platelet rich plasma group showed no statistical improvement in any of the variables
Up to 60 days, PRP infiltration has no influence on pain relief and function improvement in trochanteric syndrome treatment.
比较富血小板血浆（PRP）与皮质类固醇治疗转子疼痛综合征的疗效。
2011年7月至2012年11月，18例（20髋）转子疼痛综合征患者被随机分为两组，分别接受富血小板血浆治疗或超声引导下曲安奈德浸润治疗。在干预前以及干预后10天、30天和60天，通过面部表情疼痛量表以及西安大略和麦克马斯特大学骨关节炎指数（WOMAC）和Harris髋关节评分问卷对疼痛和功能进行评估。组间分析采用Student t检验，组内分析采用方差分析，随后进行Bonferroni事后检验。统计学显著性设定为p<0.05。
两组之间无差异。与干预前期相比，曲安奈德组在治疗后10天、30天和60天通过Harris髋关节评分问卷显示疼痛减轻（p=0.004）且功能改善（p=0.036）。富血小板血浆组在任何变量上均未显示出统计学上的改善。
在长达60天的时间里，PRP浸润对转子综合征治疗中的疼痛缓解和功能改善没有影响。
