Cintra João Paulo Coelho, Ravagnani Hugo Pinhone, do Nascimento Murillo Augusto Ribeiro, Nishimura Henrique de Paula Rodrigues
Hospital Santa Casa de Misericordia de Ribeirao Preto, Serviço de Ortopedia e Traumatologia, Ribeirao Preto, Sao Paulo, SP, Brazil.
Acta Ortop Bras. 2025 Sep 8;33(4):e290196. doi: 10.1590/1413-785220253304e290196. eCollection 2025.
Rotator cuff injuries occur due to overuse of the shoulder joint, trauma or age-related degeneration, and are aggravated by subacromial lesions and anatomical factors. Symptoms include persistent pain, reduced range of motion and muscle weakness, compromising patients' quality of life. Treatment can be conservative or surgical, and platelet-rich plasma (PRP) has emerged as an alternative to speed up healing and reduce inflammation. The objective was to review the literature on the use of PRP in the treatment of rotator cuff injuries. Clinical trials published in the last 5 years and available in the PUBMED database were selected, based on the following search strategy: (platelet[title] AND rich[title] AND plasma[title]) AND (rotator[title] AND cuff[title]). The 13 studies that responded to the initial search were included in the sample that made up this review. PRP has been shown to be a promising alternative for treating rotator cuff injuries, especially in terms of short-term pain and function. However, its long-term efficacy and its comparison with corticosteroids are still a matter of debate. Therefore, the choice of treatment should be personalized, taking into account the characteristics and goals of each patient.
肩袖损伤是由于肩关节过度使用、创伤或年龄相关退变引起的，并因肩峰下病变和解剖因素而加重。症状包括持续疼痛、活动范围减小和肌肉无力，会影响患者的生活质量。治疗方法可以是保守治疗或手术治疗，富血小板血浆（PRP）已成为加速愈合和减轻炎症的一种替代方法。目的是综述关于PRP在治疗肩袖损伤中应用的文献。根据以下检索策略，选取过去5年发表在PUBMED数据库中的临床试验：（血小板[标题] AND 富[标题] AND 血浆[标题]）AND（肩袖[标题] AND 肩袖[标题]）。对初步检索做出回应的13项研究被纳入构成本综述的样本中。PRP已被证明是治疗肩袖损伤的一种有前景的替代方法，特别是在短期疼痛和功能方面。然而，其长期疗效以及与皮质类固醇的比较仍存在争议。因此，治疗选择应因人而异，考虑到每个患者的特点和目标。
