Poster électronique

Injection intrafissuraire de plasma enrichi en plaquettes autologue dans l'épicondylite chronique fissuraire
H. Cailliez (1), P. Huot (2), M. Moinard (2), P. Meyer (2), L. Pesquer (1), MH. Moreau-Durieux (1), A. Peuchant (2), A. Silvestre (2) - (1) Bordeaux - France, (2) Mérignac - France
Congrès 2011
Résumé
Objectifs
Evaluer l'efficacité de l'injection intrafissuraire sous guidage échographique de plasma enrichi en plaquettes (PRP) autologue dans le traitement des tendinopathies latérales chroniques fissuraires du coude.
Matériels et méthodes
Etude prospective incluant 26 patients présentant une tendinopathie latérale fissuraire du coude confirmée par échographie évoluant depuis plus de 6 mois. Chaque patient était traité par une injection intrafissuraire de PRP sous guidage échographique puis réévaluéà 1 et 3 mois. L'efficacité du traitement était jugée sur l'évolution de la douleur (échelle verbale simple (EVS)), du score algo-fonctionnel quick DASH et de critères échographiques (présence et taille de la fissure, hyperhémie en doppler cotée de 0 à 2).
Résultats
L'EVS était améliorée de façon significative à 1 mois (p?0,0001) et 3 mois (p?0,0001) de même que le score quick DASH à 1 mois (p?0,0001). Un mois après l'injection de PRP, on observait une disparition de la fissure chez 65% des patients, une diminution de sa taille chez 27% et une diminution de l'hyperhémie en doppler chez 27%.
Conclusion
Cette nouvelle méthode d'injection du PRP semble efficace dans le traitement des tendinopathies latérales fissuraires du coude résistantes au traitement conservateur et pourrait ainsi constituer une alternative à la chirurgie.
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2017-04-12 15.22 :
Scott Jones

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2017-04-12 13.26 :
Shana Phillips

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