Gordon Andrew H, De Luigi Arthur Jason
Georgetown University School of Medicine, MedStar National Rehabilitation Network, Washington, DC.
Curr Sports Med Rep. 2018 Dec;17(12):407-409. doi: 10.1249/JSR.0000000000000549.
Platelet-rich plasma (PRP), as a regenerative treatment for partial ulnar collateral ligament (UCL) tears, is validated to lead to faster clinical recovery and return to play in adult athletes. However, studies examining such a role of PRP in younger pediatric and adolescent athletes are scarce. A 14-year-old adolescent throwing athlete, a right-handed pitcher, presented with chronic right medial elbow pain discovered to be secondary to a partial UCL tear, as identified on both ultrasound and magnetic resonance imaging. A single ultrasound-guided injection of PRP to the pathologic site of the partial UCL tear, in concert with our standardized rehabilitation protocol for throwing athletes after UCL injuries, enabled the boy to heal and return to throwing at full pitching distance without pain and without complications. This emphasizes the utility of PRP as a regenerative treatment option in an adolescent throwing athlete.
富含血小板血浆(PRP)作为部分尺侧副韧带(UCL)撕裂的一种再生治疗方法,已被证实可使成年运动员更快地实现临床康复并重返赛场。然而,关于PRP在年龄较小的儿童和青少年运动员中发挥此类作用的研究却很稀少。一名14岁的青少年投掷运动员,是一名右投手,因慢性右内侧肘部疼痛就诊,经超声和磁共振成像检查发现是由部分UCL撕裂继发引起的。在对部分UCL撕裂的病理部位进行单次超声引导下的PRP注射,并结合我们针对UCL损伤后投掷运动员的标准化康复方案后,该男孩得以痊愈,并能在完整的投球距离上无痛且无并发症地恢复投掷。这强调了PRP作为青少年投掷运动员再生治疗选择的实用性。