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Use of Platelet Rich Plasma for the Treatment of Acetabular Labral Tear of the Hip

A Pilot Study

De Luigi, Arthur Jason DO, MHSA*; Blatz, Daniel MD; Karam, Christopher MD; Gustin, Zachary MD§; Gordon, Andrew MD

American Journal of Physical Medicine & Rehabilitation: May 30, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000001237
Research Article: PDF Only
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Objective This study aims to assess whether ultrasound guided injection of platelet rich plasma (PRP) can safely and effectively treat symptoms associated with acetabular hip labral tears.

Design Institutional Review Board (IRB) approval was gained for a prospective study of eight patients (N=8), who have previously failed conservative management, to receive ultrasound-guided injection of PRP at the site of hip labrum tear. We assessed pain reduction and functional ability at baseline, and then 2, 6, and 8 weeks after injection, using the Visual Analogue Scale (VAS) and Harris Hip Score (HHS), respectively.

Results Statistically significant differences in HHS were seen two (86.5 +/- 10.8, p<0.01), six (88.0 +/- 10.7) p<0.01), and eight weeks (92.1 +/- 11.6, p<0.01) after injection as compared to baseline (76.0 +/- 13.4). Corresponding improvements were seen in VAS two (1.0, p<0.01 at rest, 2.5, p<0.01 with activity), six (0.9, p<0.01 at rest, 2.3, p<0.01 with activity), and eight weeks (0.5, p<0.01 at rest, 1.3, p<0.01 with activity) compared to baseline (3.8 at rest, 5.4 with activity).

Conclusions Ultrasound-guided injection of PRP holds promise as an emerging, minimally-invasive technique toward symptom relief, reducing pain, and improving function in patients with hip labral tears.

*Mayo Clinic, Arizona, Mayo Clinic School of Medicine, MedStar National Rehabilitation Hospital, MedStar Georgetown University Hospital, Georgetown University School of Medicine

MedStar National Rehabilitation Hospital, Shirley Ryan Ability Lab, Northwestern University School of Medicine

MedStar National Rehabilitation Hospital, Our Lady of Lourdes Medical Center, RA Pain Services

§MedStar National Rehabilitation Hospital, Methodist Health System

MedStar National Rehabilitation Hospital, Georgetown University School of Medicine,

Correspondence: Arthur Jason De Luigi, DO, MHSA, 10825 N. 140th Way, Scottsdale, AZ 85259301793-2136. ajweege@yahoo.com

Author Disclosures:

Arthur Jason De Luigi, DO, MHSA

Daniel Blatz, MD

Christopher Karam, MD

Zachary Gustin, MD

Andrew H. Gordon, MD

Competing Interests-None for any author

Funding or grants or equipment provided for the project from any source-None for any author

Financial benefits to the authors-None to any author

Details of any previous presentation of the research, manuscript, or abstract in any form:

Please note that we have presented this research at both national and local conferences. This research was selected as a Scientific Paper Presentation at the 2015 Association for Academic Physiatrists conference held in San Antonio, Texas.

Gordon, A.H., C. Karam, D. Blatz, Z. Gustin, A.J. De Luigi. Administration of Platelet Rich Plasma to Hip Labral Tears Reduces Pain and Improves Function.Scientific Paper (Podium) Presentation, Annual Meeting of the Association of Academic Physiatrists. 2015.

Gordon, A.H., C. Karam, D. Blatz, Z. Gustin, A.J. De Luigi. Improved Hip Function and Pain Alleviation after Single Administration of Platelet Rich Plasma for Hip Labral Tears: A Prospective Cohort Study.Oral Poster Presentation, Annual Meeting of the American Medical Society for Sports Medicine. 2015.

Gordon, A.H., C. Karam, D. Blatz, Z. Gustin, A.J. De Luigi. Functional Improvement and Pain Reduction after Single Injection of Platelet Rich Plasma for Hip Labral Tears: A Prospective Cohort Study.Poster Presentation, MedStar Health Research Institute Research Symposium. 2015.

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