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Corticosteroids or platelet-rich plasma injections for rotator cuff tendinopathy: a randomized clinical trial study

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Dadgostar, Haleh, Fahimipour, Farinaz, Pahlevan Sabagh, Alireza, Arasteh, Peyman, Razi, Mohammad·2021·Journal of Orthopaedic Surgery and Research

Abstract

Background: Studies evaluating the role of both corticosteroids and platelet-rich plasma (PRP) in the treatment of rotator cuff (RC) tendinopathies have been contradicting. We compared structural and clinical changes in RC muscles after corticosteroids and PRP injections. Methods: This is a randomized double-blind clinical trial. All individuals with diagnosis of RC tendinitis during 2014–2017 were considered. Individuals were randomly allocated to either receive PRP or corticosteroids. Overall, 3cc of PRP was injected within the subacromial joint and another 3cc was injected at the site of the tendon tear, under the guide of sonography. For the corticosteroid group, 1cc of Depo-medrol 40mg and 1cc of lidocaine (2%) was injected within the subacromial joint. Results: Overall, 58 patients entered the study. Comparison of pain, range of motion (ROM), Western Ontario RC (WORC), Disability of Arm-Hand-Shoulder (DASH) scores, and supraspinatus thickness showed significant improvement during follow-ups in both groups (p<0.05). During 3 months of follow-up, pain improvement was significantly better within the PRP group during (from 6.66±2.26 to 3.08±2.14 and 5.53±1.80 to 3.88±1.99, respectively; p=0.023). Regarding ROM, the PRP group had significant improvement in adduction (20.50°±8.23° to 28°±3.61° and 23.21°±7.09° to 28.46°±4.18° for the PRP and corticosteroid groups, respectively; p=0.011) and external rotation (59.66°±23.81° to 76.66°±18.30° and 57.14°±24.69° to 65.57°±26.39°, for the PRP and corticosteroid groups, respectively; p=0.036) compared to the corticosteroid group. Conclusion: We found that PRP renders similar results to that of corticosteroids in most clinical aspects among patients with RC tendinopathies; however, pain and ROM may show more significant improvement with the use of PRP. Considering that the use of corticosteroids may be contraindicated in some patients and may be associated with the risk of tendon rupture, we suggest the use of PRP in place of corticosteroid-based injections among patients with RC tendinopathy. Trial registration: Clinical trial registration code: IRCT201302174251N9

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Metadata

Authors
Dadgostar, H., Fahimipour, F., Pahlevan Sabagh, A., Arasteh, P., & Razi, M.
Affiliations
  • Iran University of Medical Sciences (IR)
  • Shiraz University of Medical Sciences (IR)
Corresponding author
Fahimipour, Farinaz
Venue
Journal of Orthopaedic Surgery and Research
Published
2021-05-21
Volume
16
Issue
1
Pages
333-333
ISSN
1749-799X (ISSN-L)
OpenAlex
W3161411817
Cited by
64
References
25
Citations by year
2026: 9 · 2025: 20 · 2024: 12 · 2023: 15 · 2022: 8
FWCI
8.22
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Orthopaedic Surgery and Research (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
Iran University of Medical Sciences
Topics
  • Health Sciences › Medicine › Surgery › Shoulder Injury and Treatment
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Tendon Structure and Treatment
  • Health Sciences › Dentistry › Periodontics › Periodontal Regeneration and Treatments
Keywords
rotator cuff tendinopathy, platelet-rich plasma, corticosteroid injection, rotator cuff tendinitis, shoulder pain, shoulder range of motion, subacromial injection, DASH score, rotator cuff repair, treatment comparison, ultrasound-guided injection, lidocaine, methylprednisolone acetate, rotator cuff muscles
MeSH terms
Rotator Cuff Injuries, Contraindications, Drug, Adrenal Cortex Hormones, Aged, Double-Blind Method, Female, Follow-Up Studies, Humans, Male, Middle Aged, Injections, Intralesional, Range of Motion, Articular, Treatment Outcome, Rotator Cuff, Platelet-Rich Plasma

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CoChat. (2026). Citation check: Corticosteroids or platelet-rich plasma injections for rotator cuff tendinopathy: a randomized clinical trial study. https://app.cochat.ai/papers/10.1186/s13018-021-02470-x
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Dadgostar, H., Fahimipour, F., Pahlevan Sabagh, A., Arasteh, P., & Razi, M. (2021). Corticosteroids or platelet-rich plasma injections for rotator cuff tendinopathy: a randomized clinical trial study. Journal of Orthopaedic Surgery and Research. https://doi.org/10.1186/s13018-021-02470-x

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