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Ultrasound-Guided PRP Gel: Revolutionizing Supraspinatus Tear Treatment

In the realm of medical advancements, the treatment of supraspinatus tendon tears has been a focal point due to its prevalence and impact on patients. These tears often lead to shoulder pain and restricted movement, affecting a significant portion of the population, especially with increasing age. Addressing these tears promptly is crucial to prevent further complications such as fat infiltration and retear risks.

Historically, surgical intervention has been a primary method for severe cases of supraspinatus tendon tears, aiming to repair the injury effectively and prevent fat infiltration. However, the challenge lies in treating mild to moderate tears conservatively to minimize the risk of recurrence and inhibit fat infiltration. Platelet-rich plasma (PRP) therapy has emerged as a promising biologic treatment, known for its ability to promote tendon tissue growth and reduce fat infiltration in torn supraspinatus tendons.

The efficacy of PRP treatment varies across studies, with challenges such as poor fluid absorption of the tendon and rapid loss of liquid PRP post-injection. To address these limitations, PRP gel has been developed to enhance treatment outcomes. PRP gel adheres stably to the tendon tear site, ensuring continuous release of growth factors and anti-inflammatory agents to facilitate tendon-bone healing and vascular remodeling, accelerating the repair process.

A recent retrospective study investigated the clinical significance of ultrasound-guided PRP gel in treating supraspinatus tendon tears. Eighty-two patients with mild or moderate tears were divided into three groups receiving different treatments. The study evaluated pain scores, shoulder function, fat infiltration, treatment efficacy, and adverse reactions postoperatively. Results showed that PRP gel treatment led to lower pain scores, improved shoulder function, reduced fat infiltration, and higher treatment efficacy compared to traditional treatments like sodium hyaluronate.

The study utilized advanced imaging techniques such as musculoskeletal ultrasound and ultrasound-guided magnetic resonance angiography to diagnose and monitor the patients. The precision of ultrasound guidance in delivering PRP gel directly to the tendon tear site significantly contributed to the positive outcomes observed in the PRP gel group. This targeted approach ensured effective treatment delivery and enhanced repair processes, ultimately improving patient outcomes in terms of pain relief, joint function, and fat infiltration reduction.

Despite the study’s limitations, such as sample size and platelet variability among individuals, the findings underscore the potential of ultrasound-guided PRP gel therapy in managing supraspinatus tendon tears. Future research endeavors are needed to further explore and refine this treatment modality, potentially revolutionizing the conservative management of tendon injuries and enhancing patient quality of life.

In conclusion, the utilization of ultrasound-guided PRP gel therapy presents a promising avenue for improving the treatment outcomes of supraspinatus tendon tears. By addressing pain, enhancing joint function, reducing fat infiltration, and increasing treatment efficacy, this innovative approach holds significant potential in reshaping the landscape of tendon tear management.

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