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Platelet-Rich Plasma versus Corticosteroid Injection for the Treatment of Lateral Epicondylitis: A Systematic Review of Systematic Reviews.

作者信息

Kemp Jordyn A, Olson Megan A, Tao Matthew A, Burcal Christopher J

机构信息

University of Nebraska at Omaha.

University of Nebraska Medical Center.

出版信息

Int J Sports Phys Ther. 2021 Jun 1;16(3):597-605. doi: 10.26603/001c.24148.


DOI:10.26603/001c.24148
PMID:34123513
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8169032/
Abstract

BACKGROUND: Lateral epicondylitis (LE) is one of the most commonly reported musculoskeletal disorders in the upper extremity. The mechanism of LE is repetitive motion that causes a strain of the extensor tendons. This consequently causes pain and tendinosis at the tendinous attachment site on the lateral epicondyle. Most cases of LE are treated nonoperatively with a variety of interventions, such as injections. PURPOSE: The aim of this systematic review (SR) is to synthesize the current evidence on the efficacy of platelet rich plasma (PRP) injections versus corticosteroid (CS) injections as treatment interventions for LE. STUDY DESIGN: Systematic Review. METHODS: Online databases were searched from database inception to February 24th, 2020 for relevant SR's evaluating PRP vs. CS injections as treatment methods for LE. Two independent researchers searched and screened for articles that were systematic reviews that directly compared PRP to CS injections for LE. RESULTS: A total of five SR's were included in this review that were published between 2016 and 2020. CS injections were more efficacious for short-term pain relief, and PRP injections were more efficacious for long-term pain relief and improved function. CONCLUSION: PRP injections appear to be a more effective long-term treatment option than CS injections for those with LE who did not respond to conservative management. LEVEL OF EVIDENCE: 1.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/8169032/09981f523135/ijspt_2021_16_3_24148_61231.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/8169032/09981f523135/ijspt_2021_16_3_24148_61231.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eb4/8169032/09981f523135/ijspt_2021_16_3_24148_61231.jpg

相似文献

[1]
Platelet-Rich Plasma versus Corticosteroid Injection for the Treatment of Lateral Epicondylitis: A Systematic Review of Systematic Reviews.

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[2]
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[3]
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[6]
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[7]
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[8]
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引用本文的文献

[1]
Shear wave elastography to assess healing in lateral epicondylosis: randomized controlled trial with platelet-rich plasma.

Eur Radiol. 2025-7-26

[2]
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J Clin Med. 2025-4-3

[3]
A Comparative Study of the Efficacy of Platelet-Rich Plasma (PRP) vs. Other Conservative Treatments for Lateral Epicondylitis.

Cureus. 2024-10-1

[4]
Mechanisms, Efficacy, and Clinical Applications of Platelet-Rich Plasma in Tendinopathy: A Comprehensive Review.

Cureus. 2024-7-29

[5]
Percutaneous tendon dry needling and thrust manipulation as an adjunct to multimodal physical therapy in patients with lateral elbow tendinopathy: A multicenter randomized clinical trial.

Clin Rehabil. 2024-8

[6]
Current Status and Advancements in Platelet-Rich Plasma Therapy.

Cureus. 2023-10-17

[7]
Nonoperative Management of Lateral Epicondyle Tendinopathy: An Umbrella Review.

J Chiropr Med. 2023-9

[8]
[Treatment of lateral and medial epicondylopathy : Are platelet-rich plasma, shock wave therapy, etc. effective for both?].

Orthopadie (Heidelb). 2023-5

[9]
Clinical and radiological effects of Corticosteroid injection combined with deep transverse friction massage and Mill's manipulation in lateral epicondylalgia-A prospective, randomized, single-blinded, sham controlled trial.

PLoS One. 2023

[10]
The Correlation between Variation of Labral Attachment and Lesions of the Long Head of the Biceps Tendon in Patients with Rotator Cuff Tears.

Orthop Surg. 2023-8

本文引用的文献

[1]
Platelet-rich plasma vs corticosteroids for elbow epicondylitis: A systematic review and meta-analysis.

Medicine (Baltimore). 2019-12

[2]
Examining overlap of included studies in meta-reviews: Guidance for using the corrected covered area index.

Res Synth Methods. 2019-12-10

[3]
Platelet-Rich Plasma Versus Corticosteroid Injections in the Management of Elbow Epicondylitis and Plantar Fasciitis: An Updated Systematic Review and Meta-analysis.

Am J Sports Med. 2019-12-10

[4]
Platelet-Rich Plasma Vs Autologous Blood Vs Corticosteroid Injections in the Treatment of Lateral Epicondylitis: A Systematic Review, Pairwise and Network Meta-Analysis of Randomized Controlled Trials.

PM R. 2020-4

[5]
Chronic lateral epicondylitis: challenges and solutions.

Open Access J Sports Med. 2018-10-30

[6]
The effect of corticosteroid versus platelet-rich plasma injection therapies for the management of lateral epicondylitis: A systematic review.

SICOT J. 2018

[7]
Trends in Surgical Practices for Lateral Epicondylitis Among Newly Trained Orthopaedic Surgeons.

Orthop J Sports Med. 2017-10-4

[8]
AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both.

BMJ. 2017-9-21

[9]
Lateral epicondylitis of the elbow.

EFORT Open Rev. 2017-3-13

[10]
Three or more preoperative injections is the most significant risk factor for revision surgery after operative treatment of lateral epicondylitis: an analysis of 3863 patients.

J Shoulder Elbow Surg. 2017-4

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