Original Articles
Intrarticular Autologous Platelet-Rich Plasma Versus Methyl Prednisolone Acetate In Adhesive Capsulitis Of Shoulder: A Comparative Study | |
Dr. Basant Rai, Dr. Vipan Kumar, Dr. Dixit Bansal | |
Aim: To compare intrarticular autologous platelet-rich plasma with methyl prednisolone acetate in management of adhesive capsulitis of shoulder. Materials and Methods: This prospective randomized study was conducted in the Department of Orthopaedics among 60 subjects more than 18 years of age were included in the study and divided into Group A-receiving PRP and Group B receiving methylprednisolone. Clinical assessment was made before injection 1 month and 3 months following injection and consisted of pain and function assessment on Shoulder Pain and Disability Index (SPADI) and Visual Analogue Scale (VAS). All the data thus obtained was arranged in a tabulated form and analyzed using SPSS software. Results: There was a significant decrease in VAS score at 1 and 6 months among both the group, however VAS was decreased more in PRP group. The SPADI scores decreased significantly in both PRP and steroid group. However in intergroup comparisons, the improvement was more significant statistically in the PRP group at 3 months. Conclusion: Both PRP & Steroid showed improvement in treating frozen shoulder. However, PRP resulted in significant pain relief and greater functional improvement in shoulder motion compared with steroid injection. This study highlights the growing importance of PRP in chronic musculoskeletal conditions such as AC, especially in clinical scenarios where CS is contraindicated or refused by the patient. |
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