Platelet-Rich Plasma for Frozen Shoulder: A Case Report

Document Type: CASE REPORT

Authors

1 Shahid Beheshti University of Medical Sciences, Tehran, Iran Knee and Sport Medicine Research and Education Center, Milad hospital, Tehran, Iran

2 Orthopedic Surgeon, Knee and Sport Medicine Research and Education Center, Milad hospital, Tehran, Iran

3 University of Social Welfare and Rehabilitation Science, Tehran, Iran

4 Knee and Sport Medicine Research and Education Center, Milad hospital, Tehran, Iran

5 Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, 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.

Keywords


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