Jackson, Mississippi.
Arthroscopy. 2021 Nov;37(11):3368-3370. doi: 10.1016/j.arthro.2021.05.048.
The best treatment for elbow lateral epicondylitis is controversial. Multiple treatment interventions are used commonly, including physical therapy, corticosteroid injections, nonsteroidal anti-inflammatory drugs, bracing, acupuncture, ultrasound-guided percutaneous tenotomy, open or arthroscopic surgical debridement, and recently, platelet-rich plasma (PRP) or autologous blood injections. Patients in whom more traditional conservative measures have failed may benefit from PRP injections, although long-term outcomes after such injections are unclear. The complication rates of PRP injections are low. One PRP injection, if successful, could be a cost-effective alternative to surgery, but multiple injections are often recommended and third-party payers have historically rarely paid those medical claims, thus placing an increased financial burden on the patient.
治疗肘外侧上髁炎的最佳方法存在争议。通常采用多种治疗干预措施,包括物理治疗、皮质类固醇注射、非甾体抗炎药、支具、针灸、超声引导下经皮肌腱切断术、开放式或关节镜下清创术,以及最近的富血小板血浆(PRP)或自体血注射。对于那些传统的保守治疗方法失败的患者,PRP 注射可能会受益,尽管此类注射后的长期结果尚不清楚。PRP 注射的并发症发生率较低。如果单次 PRP 注射成功,可能是一种比手术更具成本效益的选择,但通常推荐多次注射,而且历史上第三方支付者很少支付这些医疗费用,从而给患者带来了更大的经济负担。