Title: Ultrasonographic Evidence of the Regenerative Potential of Platelet Rich Plasma In Partial Tear of Achilles Tendon - A Case Report
Authors: Arun Choudhary, Samantak Sahu, Abhimanyu Vasudeva, S L Yadav
DOI: https://dx.doi.org/10.18535/jmscr/v6i12.136
Abstract
A 34 years old, female presented with severe posterior heel pain of 6 years duration. On examination, there was swelling over posterior heel near insertion of Achilles tendon with grade 3 tenderness. A point of care ultrasound examination revealed partial thickness Achilles tendon tear near its insertion as there was discontinuity of fibers, hypo-echogenicity with increased thickness. As a conservative treatment modality intra-tendinous injection of (Platelet Rich Plasma) PRP was planned. USG guided intra-tendinous injection of PRP was given thrice (4weeks apart). The patient was followed up at 3 months and 6 months after last PRP injection and had no pain or tenderness, painless and full passive and active range of motion and remarkable improvement on USG as there was restoration of fibrillar pattern, normal echogenicity and reduction in thickness. Platelet Rich Plasma (PRP) is being investigated as a safe and a minimally invasive option owing to its regenerative potential. Ultrasound is being increasingly used to visualize and diagnose disorders of the Achilles tendon.PRP is a potential regenerative therapeutic modality to restore structural and functional integrity of damaged Achillis tendon.
Keywords: PRP, Achilles Tendon, Ultrasound.
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