Comparing the Efficacy of Local Corticosteroid Injection, Platelet-Rich Plasma, and Extracorporeal Shockwave Therapy in the Treatment of Pes Anserine Bursitis: A Prospective, Randomized, Comparative Study
Background. Pes anserine bursitis (PAB) is one of the most common causes of painful knee syndromes. This study aimed at examining the efficacy of local corticosteroid injection, platelet-rich plasma (PRP) injection, and extracorporeal shock wave therapy (ESWT) as different modalities to alleviate pa...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2023/5545520 |
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| author | Wesam Gouda Awad S. Abbas Tarek M. Abdel-Aziz Mohamed Z. Shoaeir Walid Ahmed Abdelhfeez Moshrif Ahmed Mosallam Mohamed Kamal |
| author_facet | Wesam Gouda Awad S. Abbas Tarek M. Abdel-Aziz Mohamed Z. Shoaeir Walid Ahmed Abdelhfeez Moshrif Ahmed Mosallam Mohamed Kamal |
| author_sort | Wesam Gouda |
| collection | DOAJ |
| description | Background. Pes anserine bursitis (PAB) is one of the most common causes of painful knee syndromes. This study aimed at examining the efficacy of local corticosteroid injection, platelet-rich plasma (PRP) injection, and extracorporeal shock wave therapy (ESWT) as different modalities to alleviate pain and enhance function in patients with pes anserine bursitis (PAB). Methods. A prospective, randomized, comparative study was conducted on 180 patients diagnosed with chronic PAB. They were equally divided into three groups as follows: Group I received a local corticosteroid injection of 40 mg of methylprednisolone acetate/1 ml; Group II received a PRP injection; and in Group III, ESWT was used. Outcome measures included the visual analog scale (VAS), Western Ontario and McMaster Universities (WOMAC) pain score, WOMAC physical function score, and Ritchie articular index (RAI) for tenderness, which were recorded at the baseline, after 1 week, and after 8 weeks. Results. Before the application of procedures, there was a statistically significant increase in the WOMAC pain score in the local corticosteroid group compared to the PRP group and the ESWT group (P<0.001). After the application of procedures, there was a statistically significant improvement in the 1-week and 8-week WOMAC pain score, WOMAC physical function score, and VAS in the local corticosteroid group in comparison to the PRP group and the ESWT group. (P<0.001). Moreover, RAI for tenderness shows statistically significant improvement at 8 weeks in the local corticosteroid groups compared to the PRP groups (P<0.001) and ESWT groups (P<0.001). Similarly, a statistically significant difference was found between the PRP and ESWT groups (P=0.023). Conclusion. Our data suggest that in patients with PAB, local corticosteroid injection is more efficient than PRP injection and ESWT for reducing pain and enhancing function. |
| format | Article |
| id | doaj-art-b842c017f1144ca48a7fb6606f2289a3 |
| institution | Kabale University |
| issn | 2090-3472 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-b842c017f1144ca48a7fb6606f2289a32025-02-03T06:43:12ZengWileyAdvances in Orthopedics2090-34722023-01-01202310.1155/2023/5545520Comparing the Efficacy of Local Corticosteroid Injection, Platelet-Rich Plasma, and Extracorporeal Shockwave Therapy in the Treatment of Pes Anserine Bursitis: A Prospective, Randomized, Comparative StudyWesam Gouda0Awad S. Abbas1Tarek M. Abdel-Aziz2Mohamed Z. Shoaeir3Walid Ahmed4Abdelhfeez Moshrif5Ahmed Mosallam6Mohamed Kamal7Rheumatology and Rehabilitation DepartmentRheumatology and Rehabilitation DepartmentRheumatology and Rehabilitation DepartmentRheumatology and Rehabilitation DepartmentMedicine DepartmentRheumatology and Rehabilitation DepartmentRheumatology and Rehabilitation DepartmentRheumatology and Rehabilitation DepartmentBackground. Pes anserine bursitis (PAB) is one of the most common causes of painful knee syndromes. This study aimed at examining the efficacy of local corticosteroid injection, platelet-rich plasma (PRP) injection, and extracorporeal shock wave therapy (ESWT) as different modalities to alleviate pain and enhance function in patients with pes anserine bursitis (PAB). Methods. A prospective, randomized, comparative study was conducted on 180 patients diagnosed with chronic PAB. They were equally divided into three groups as follows: Group I received a local corticosteroid injection of 40 mg of methylprednisolone acetate/1 ml; Group II received a PRP injection; and in Group III, ESWT was used. Outcome measures included the visual analog scale (VAS), Western Ontario and McMaster Universities (WOMAC) pain score, WOMAC physical function score, and Ritchie articular index (RAI) for tenderness, which were recorded at the baseline, after 1 week, and after 8 weeks. Results. Before the application of procedures, there was a statistically significant increase in the WOMAC pain score in the local corticosteroid group compared to the PRP group and the ESWT group (P<0.001). After the application of procedures, there was a statistically significant improvement in the 1-week and 8-week WOMAC pain score, WOMAC physical function score, and VAS in the local corticosteroid group in comparison to the PRP group and the ESWT group. (P<0.001). Moreover, RAI for tenderness shows statistically significant improvement at 8 weeks in the local corticosteroid groups compared to the PRP groups (P<0.001) and ESWT groups (P<0.001). Similarly, a statistically significant difference was found between the PRP and ESWT groups (P=0.023). Conclusion. Our data suggest that in patients with PAB, local corticosteroid injection is more efficient than PRP injection and ESWT for reducing pain and enhancing function.http://dx.doi.org/10.1155/2023/5545520 |
| spellingShingle | Wesam Gouda Awad S. Abbas Tarek M. Abdel-Aziz Mohamed Z. Shoaeir Walid Ahmed Abdelhfeez Moshrif Ahmed Mosallam Mohamed Kamal Comparing the Efficacy of Local Corticosteroid Injection, Platelet-Rich Plasma, and Extracorporeal Shockwave Therapy in the Treatment of Pes Anserine Bursitis: A Prospective, Randomized, Comparative Study Advances in Orthopedics |
| title | Comparing the Efficacy of Local Corticosteroid Injection, Platelet-Rich Plasma, and Extracorporeal Shockwave Therapy in the Treatment of Pes Anserine Bursitis: A Prospective, Randomized, Comparative Study |
| title_full | Comparing the Efficacy of Local Corticosteroid Injection, Platelet-Rich Plasma, and Extracorporeal Shockwave Therapy in the Treatment of Pes Anserine Bursitis: A Prospective, Randomized, Comparative Study |
| title_fullStr | Comparing the Efficacy of Local Corticosteroid Injection, Platelet-Rich Plasma, and Extracorporeal Shockwave Therapy in the Treatment of Pes Anserine Bursitis: A Prospective, Randomized, Comparative Study |
| title_full_unstemmed | Comparing the Efficacy of Local Corticosteroid Injection, Platelet-Rich Plasma, and Extracorporeal Shockwave Therapy in the Treatment of Pes Anserine Bursitis: A Prospective, Randomized, Comparative Study |
| title_short | Comparing the Efficacy of Local Corticosteroid Injection, Platelet-Rich Plasma, and Extracorporeal Shockwave Therapy in the Treatment of Pes Anserine Bursitis: A Prospective, Randomized, Comparative Study |
| title_sort | comparing the efficacy of local corticosteroid injection platelet rich plasma and extracorporeal shockwave therapy in the treatment of pes anserine bursitis a prospective randomized comparative study |
| url | http://dx.doi.org/10.1155/2023/5545520 |
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