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中华肩肘外科电子杂志 ›› 2021, Vol. 09 ›› Issue (04) : 372 -376. doi: 10.3877/cma.j.issn.2095-5790.2021.04.015

病例报告

富血小板血浆治疗运动员的肩袖部分损伤一例
庄澄宇1, 李亘1, 楼俊华1, 刘敬锋1, 叶庭均1, 虞佩1, 张胤1, 王蕾1,()   
  1. 1. 200025 上海交通大学医学院附属瑞金医院骨科
  • 收稿日期:2021-07-06 出版日期:2021-11-05
  • 通信作者: 王蕾
  • 基金资助:
    2021上海市体育科技项目"备战攻关计划"(21J024); 上海市临床重点专科建设项目中西医结合骨关节病科(SHSLCZDZK04802); 上海卫生系统先进适宜技术推广项目(2019SY011); 上海市卫健委卫生行业临床研究专项(2020Y0351); 国家自然科学基金青年项目(82102618); 国家自然科学基金面上项目(32171317)
  • Received:2021-07-06 Published:2021-11-05
引用本文:

庄澄宇, 李亘, 楼俊华, 刘敬锋, 叶庭均, 虞佩, 张胤, 王蕾. 富血小板血浆治疗运动员的肩袖部分损伤一例[J]. 中华肩肘外科电子杂志, 2021, 09(04): 372-376.

图1 患者术前肩关节MRI影像 图A-C:肩关节斜冠状位T2加权像;图D-F:肩关节斜冠状位T1加权像;图G-I:肩关节横断面T2加权像注:红色箭头示冈上肌腱内撕裂部位
图2 患者预先进行超声定位(图A)和诊断(图B)
图3 常规制备的PRP示意图 图A:PRP制备过程第1次离心后;图B:抽取出的第2次离心后的PRP成分注:PRP为富血小板血浆
图4 消毒铺巾后进行超声定位下的PRP注射 图A:B超在手术区域寻找部分肩袖损伤的准确位置;图B:在B超的定位引导下,在部分肩袖损伤的位置注入适量的PRP注:PRP为富血小板血浆
图5 超声下PRP注射过程 图A:超声定位肩袖撕裂部位(红色箭头示肩袖撕裂区域);图B:超声下定位穿刺注射PRP(蓝色箭头示穿刺针);图C:PRP注射后的肩袖撕裂部位充盈(红色箭头示PRP注入肩袖撕裂区域)注:PRP为富血小板血浆
图6 患者PPR注射术后半年肩袖MRI检查结果(选取相同的截面进行观察) 图A-C:肩关节斜冠状位T2加权像;图D-F:肩关节斜冠状位T1加权像;图G-I:肩关节横断面T2加权像(红色箭头示冈上肌腱内撕裂部位已修复,蓝色箭头示高强度训练引起的肱骨头处水肿区域)
[1]
封旭华,陈世益,张鹏, 等. 上海部分优秀肩上举项目运动员肩关节损伤调查分析 [J]. 中国运动医学杂志2006,25(3):44-345.
[2]
陈疾忤,陈世益,封旭华,等. 上海市部分专业运动队运动员肩关节损伤流行病学调查 [J]. 中国运动医学杂志, 2007, 26(4): 464-466.
[3]
Economopoulos KJ, Brockmeler SF. Rotator cuff tears in overhead athletes [J]. Clin Sports Med, 2012, 31(4): 675-692.
[4]
Hartnett DA, Milner JD, Defroda SF. The Weekend Warrior: Common Shoulder and Elbow Injuries in the Recreational Athlete [J]. Am J Med, 2021, 104(10):26-30.
[5]
Liu JN, Garcia GH, Gown AK, et al. Treatment of Partial Thickness Rotator Cuff Tears in Overhead Athletes [J]. Cur Rev Musculoskeletal Med, 2018, 11(5): 55-62.
[6]
Andrews JR. Diagnosis and treatment of chronic painful shoulder: review of nonsurgical interventions [J]. Arthroscopy, 2005, 21(3): 333-347.
[7]
Randelli PS, Arrigoni P, Cabitza P, et al. Autologous platelet rich plasma for arthroscopic rotator cuff repair. A pilot study [J]. Disability Rehabilitation, 2010, 30(20/22): 1584-1589.
[8]
Alsousou J, Thompson M, Hulley P, et al. The biology of platelet-rich plasma and its application in trauma and orthopaedic surgery: a review of the literature [J]. J Bone Joint Surg, 2009, 91-B(8): 987-996.
[9]
Asfaha S, Cenac N, Houle S, et al. Protease-activated receptor-4: a novel mechanism of inflammatory pain modulation [J]. Br J Pharmacol, 2007, 150(2): 176-185.
[10]
Laschke MW, Menger MD. The simpler, the better: tissue vascularization using the body’s own resources [J]. Trends Biotechnol, 2021, S0167-7799(21)00169-4
[11]
Jo CH, Kim JE, Yoon KS, et al. Platelet-rich plasma stimulates cell proliferation and enhances matrix gene expression and synthesis in tenocytes from human rotator cuff tendons with degenerative tears [J]. Am J Sports Med, 2012, 40(5): 1035-1045.
[12]
Canapp SO, Canapp DA, Victor I, et al. The Use of Adipose-Derived Progenitor Cells and Platelet-Rich Plasma Combination for the Treatment of Supraspinatus Tendinopathy in 55 Dogs: A Retrospective Study [J]. Front Vet Sci, 2016, 3:61.
[13]
Hurley ET, Colsant CA, Anil U, et al. The effect of platelet-rich plasma leukocyte concentration on arthroscopic rotator cuff repair: a network meta-analysis of randomized controlled trials [J]. Am J Sports Med, 2021, 49(9): 2528-2535.
[14]
Randelli P, Arrigoni P, Ragone V, et al. Platelet rich plasma in arthroscopic rotator cuff repair: a prospective RCT study, 2-year follow-up - ScienceDirect [J]. J Shoulder Elbow Surg, 2011, 20(4): 518-528.
[15]
Sengodan VC, Kurian S, Ramasamy R. Treatment of Partial Rotator Cuff Tear with Ultrasound-guided Platelet-rich Plasma [J]. J Clin Imag Sci, 2017, 7(1): 32.
[16]
侯晓东,刘洪柏,匡斌. 自体富血小板血浆治疗膝关节内侧副韧带Ⅰ、Ⅱ度损伤的对照研究 [J]. 中国骨与关节损伤杂志, 2018, 33(6): 64-66.
[17]
张挺. 富血小板血浆在镜下前交叉韧带重建中的短期临床疗效分析 [D].杭州:浙江大学, 2017.
[18]
纪庆明,杨育晖,陈昊, 等 富血小板血浆辅助前交叉韧带重建治疗的临床疗效分析 [J]. 中国修复重建外科杂志, 2017, (4): 410-416.
[19]
Zou J, Mo X, Shi Z, et al. A Prospective Study of Platelet-Rich Plasma as Biological Augmentation for Acute Achilles Tendon Rupture Repair [J]. Biomed Res Int,2016,2016:9364170.
[20]
Zhang Z. The effect of platelet-rich plasma on arthroscopic double-row rotator cuff repair A clinical study with 12-month follow-up [J]. Acta Orthop Traumatol Turc, 2015, 50(2): 191-197.
[21]
董佩龙,唐晓波,王健, 等. 自体富血小板血浆凝胶在关节镜下肩袖修补术中的应用 [J]. 中华骨科杂志, 2015,35(9):942-947.
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