LIRPOS URAC 30 chographie interventionnelle de lpaule Dr

LIRPOS URAC 30 Échographie interventionnelle de l’épaule Dr S. Aktaou, Dr H. Rkain Service de Rhumatologie (Pr Najia. Hajjaj-Hassouni, Hôpital El Ayachi, Rabat)

Acide hyaluronique/tendons de la coiffe des rotateurs

Acide hyaluronique/ Capsulite rétractile Acide hyaluronique= alternative thérapeutique ? ? ?

Plasma Riche ne Plaquettes (PRP) www. regenkit. com

Plasma Riche ne Plaquettes (PRP) Regen. Kit® BCT 1 -2 -4 1 Safety–Lok™ Butterfly needle, 1 Collection holder, 1 to 4 Regen. BCT tube(s)*, 1 Transfer device, 1 to 2 x 27 G needle(s) for injection, 1 to 2 Red transfer needle(s), 1 to 2 x 5 ml Luer-Lok™ syringe(s) www. regenkit. com

PRP/ Kit Regenlab® www. regenkit. com

Conclusion: At 1 -year follow-up, a PRP injection was found to be no more effective in improving quality of life, pain, disability, and shoulder range of motion than placebo in patients with chronic RCT who were treated with an exercise program.

Conclusion A single ultrasound-guided, intralesional injection of PRP resulted in safe, significant, sustained improvement of pain, function, and MRI outcomes in participants with refractory RCT. Randomized multidisciplinary effectiveness trials that add ultrasound and validated clinical outcome measures are needed to further assess PRP for RCT.

§ Traitement en plein essor. § Niveau de preuve C: Peu d’études randomisées contrôlées sans faiblesses. § Absence d’indication de PRP en première intention dans les tendinopathies. § Traitement à discuter dans certaines indications après échec des traitements habituels sous formes d’infiltrations écho-guidées.