Shoulder Pain
Conditions
Brief summary
Comparison between effects of ultrasound guided platelet rich plasma injection versus steroids injection for pain relief in cases of partial rotator cuff tears
Detailed description
The effect of injection of platelet rich plasma will be compared with effects of steroids injection according to pain relief effects,, Side effects ,, healing ability ,, recurrence in both groups. 30 patient in each group will be included
Interventions
COMBINATION_PRODUCTPlatelet rich plasma
platelet rich plasma will be obtained from the particepants own blood mixed with activator and bupivacaine
COMBINATION_PRODUCTMethylprednisolone
1ml methyl prednisolone 40mg\\ml mixed with normal saline and bupivacaine
Sponsors
Alexandria University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
2 groups will be included
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients with positive tests for rotator cuff pain 2. Patients with positive radiological (US or MRI) findings of partial rotator cuff tear
Exclusion criteria
1. Patient refusal 2. Age less than 20 years. 3. Infection at injection site. 4. Prior surgery on the shoulder joint area. 5. Presence of other associated pathology in the shoulder joint 6. Patients using antiplatelet drugs (aspirin). 7. Contraindications to the use of platelet concentrate 8. Contraindications to the steroids injection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder pain assesment | 4 months | The pain will be assessed using visual analogue scale( score range=0-10,less than 4,4-6 and more than 6 for mild, moderate and severe pain respectively) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assesment the failure rate after shoulder joint injection | 4 months | failure of relief the symptoms after shoulder joint injection will be recorded |
| Assesment of rotator cuff tendon healing | 4 months | assesment healing process of tendon using ultrasound technique |
| The reinjection rate recording | 4 months | the incidence of reinjection the shoulder joint due to inadequate pain relief will be recorded |
| Assesment the rate of tear recurrence after shoulder joint injection | 4 months | The rate of tear recurrence after 4 months of injection will be assessed using MRI or US |
| Simple shoulder assessment test | 4 months | Functional assessment of shoulder joint will be done using simple sholder assessment test 0= maximal disability 20% -40% = crippled 40% -60% = severe disability 60% -80% = moderate disability 100% = no disability |
Other
| Measure | Time frame | Description |
|---|---|---|
| Assesment the complications after shoulder joint injection | 4 months | Complications that might occur after shoulder joint injection such as infection, elevated blood sugar, allergy, nerve injury, nausea and vomiting will be recorded |
| Measurement the serum cortisol level | one week | Early morning(8 am serum cortisol level) will be measured before the injection and one week later after injection |
| Measurement the fasting blood glucose level | one week | The fasting blood glucose level will be measure prior to and one week later after injection |
| Measurement plasma C-Reactive Protein level | 4 months | The plasma C- Reactive Protein level will be measured prior to injection and 4 months later on after the procedure |
Countries
Egypt
Outcome results
None listed