Escaloni James, Mazloomdoost Danesh, Young Ian
American Academy of Manipulative Therapy.
Wellward Regenerative Medicine.
Int J Sports Phys Ther. 2023 Feb 1;18(1):240-252. doi: 10.26603/001c.68143. eCollection 2023.
Platelet-rich plasma (PRP) and prolotherapy have resulted in promising outcomes in patients with various types of shoulder injuries. However, there is a lack of preliminary evidence supporting preparation of PRP production, timely application of these therapies and regenerative rehabilitation protocols. The purpose of this case report is to describe the distinct method including orthobiologic preparation, tissue-specific treatment and regenerative rehabilitation of an athlete with a complex shoulder injury.
A 15y/o competitive female wrestler with a complex shoulder injury presented to the clinic after unsuccessful conservative rehabilitation. Unique methods were incorporated to optimize PRP production, specific tissue healing and regenerative rehabilitation. Multiple injuries required different orthobiologic interventions at different time frames, in order to promote optimal healing and stability of the shoulder.
The described interventions resulted in successful outcomes including pain, disability, full return to sport, and regenerative tissue healing confirmed with diagnostic imaging.
富含血小板血浆（PRP）和注射增殖疗法在各类肩部损伤患者中已取得了令人期待的疗效。然而，目前缺乏初步证据支持PRP的制备、这些疗法的及时应用以及再生康复方案。本病例报告的目的是描述针对一名患有复杂肩部损伤的运动员的独特方法，包括生物治疗制剂的制备、针对特定组织的治疗以及再生康复。
一名15岁的有竞争力的女性摔跤运动员，因复杂肩部损伤在保守康复治疗失败后前来诊所就诊。采用了独特的方法来优化PRP的制备、促进特定组织的愈合以及进行再生康复。多处损伤在不同时间需要不同的生物治疗干预，以促进肩部的最佳愈合和稳定性。
所描述的干预措施取得了成功的结果，包括疼痛减轻、功能障碍改善、完全恢复运动，并且通过诊断成像证实了再生组织的愈合。
5级。
