platelet-rich plasma for frozen shoulder: a case report

Authors

hamidreza aslani shahid beheshti university of medical sciences, tehran, iran knee and sport medicine research and education center, milad hospital, tehran, iran

seyed taghi nourbakhsh orthopedic surgeon, knee and sport medicine research and education center, milad hospital, tehran, iran

zohreh zafarani university of social welfare and rehabilitation science, tehran, iran

monireh ahmadi-bani knee and sport medicine research and education center, milad hospital, tehran, iran

abstract

frozen shoulder is a glenohumeral joint disorder that perturbs movement because of adhesion and the existence of fibrosis in the shoulder capsule. platelet-rich plasma can produce collagen and growth factors, which increases stem cells and consequently enhances the healing. to date, there is no evidence regarding the effectiveness of platelet-rich plasma in frozen shoulder. a 45-year-old man with shoulder adhesive capsulitis volunteered for this treatment. he underwent two consecutive platelet-rich plasma injections at the seventh and eighth month after initiation of symptoms. we measured pain, function, and rom by the visual analogue scale (vas), and scores from the disabilities of the arm, shoulder and hand (dash) questionnaire and goniometer; respectively. after the first injection, the patient reported 60% improvement regarding diurnal shoulder pain, and no night pains. also, two-fold improvement for rom and more than 70% improvement for function were reported. this study suggests the use of platelet-rich plasma in frozen shoulder to be tested in randomized trials.

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Journal title:
the archives of bone and joint surgery

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