Title: A Case of Common Extensor Tendon Tear of Elbow Treated with Platelet Rich Plasma Infiltration
Authors: Dr Shikha Dhaundiyal, Dr Deepak Chaudhary, Dr Deepak Joshi, Dr Colonel Bibhu Kalyan Nayak
DOI: https://dx.doi.org/10.18535/jmscr/v6i4.55
Abstract
Common Extensor tendinopathy is one of the most common overuse injury of elbow. With the repetitive overload and microtrauma of elbow it may eventually leads to tear of the common extensor tendon that is rare.
In this case report we describe a case of a middle aged man pilot by profession presented with chief complaints of pain in elbow and a clinical history corresponding with tendinopathy caused by repetitive overload of common extensor tendon due to repeated use of his hand and elbow as per according to his job demand. On examination tenderness was present around lateral aspect of elbow with painful range of movements and weak and painful grip. Initial diagnosis was made clinically for lateral epicondylitis and ultrasound imaging was done to correlate with the clinical findings which showed a frank 4mm tear of i.e. hypoechoic swelling of tendon with focal interruption of internal fibrillar pattern and soft tissue indentation unlike microtear of tennis elbow. Clinical diagnosis of common extensor tendon rupture was confirmed in this patient who had clinical history corresponding to lateral epicondylitis.
Patient was treated with injection PRP(Platelet Rich Plasma) given in weekly intervals under ultrasound guidance and in follow up it showed decrease in size of tear and healing of tear of common extensor tendon.
This case report is to highlight upon a fact that PRP can be a promising treatment for tendon tears which have shown good result in this case report.
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