de Castro Jeimylo C, Wang Daniel, Celis Paschenelle, Strakowski Jeffrey
SMARTMD Clinic for Non-Surgical Interventions Pain Center, Centuria Medical Makati, Kalayaan, Makati, Philippines.
University of Miami Miller School of Medicine, Miami, FL, USA.
Regen Med. 2024 Nov;19(11):523-528. doi: 10.1080/17460751.2024.2418705. Epub 2024 Oct 30.
There is a paucity of data regarding using platelet-rich plasma therapy for Baker's cyst-associated medial meniscal tear. To date, conservative treatments for this type of condition include aspiration of fluid effusion with steroid injection and physical therapy. When this treatment fails, arthroscopic debridement, meniscectomy, cyst decompression and open cystectomy are available surgical management options. Recurrence rates, however, are high such that even these procedures fail to provide long-term pain relief. This case study explores the benefits of leukocyte-rich platelet-rich plasma therapy in treating tears in the posterior horn of the medial meniscus with concomitant Baker's cyst. With limited studies available, this case hopes to encourage more studies to be done in the future to provide a conservative option for patients with similar cases.
关于使用富血小板血浆疗法治疗与贝克囊肿相关的内侧半月板撕裂的数据很少。迄今为止,针对这类病症的保守治疗包括抽出积液并注射类固醇以及物理治疗。当这种治疗失败时,关节镜清创术、半月板切除术、囊肿减压术和开放性囊肿切除术是可用的手术管理选择。然而,复发率很高,以至于即使这些手术也无法提供长期的疼痛缓解。本病例研究探讨了富白细胞富血小板血浆疗法在治疗伴有贝克囊肿的内侧半月板后角撕裂中的益处。由于现有研究有限,本病例希望鼓励未来开展更多研究,为类似病例的患者提供一种保守选择。