Vol 32| Issue 2 | July – Dec 2019 | page: 26-30 | Raphael Thomas, M Raffic, Anoop S
Authors: Raphael Thomas , M Raffic , Anoop S 
 Department of Orthopaedics, Sree Gokulam Medical College, Venjaramoodu, Trivandrum, Kerala, India.
Address of Correspondence
Dr. Anoop S,
Sree Gokulam Medical College, Venjaramoodu, Trivandrum, Kerala, India.
Background: A common problem in the population today with a prevalence of 1%–3% is pain over the lateral aspect of elbow. A comparative study was done to assess the effectiveness of single infiltration of platelet-rich plasma (PRP) to a single injection of triamcinolone and a normal saline placebo injection for the management of Lateral Epicondyle pain of Humerus over a 6 month duration.
Materials and Methods: Visual analog scale (VAS) was used to evaluate the effectiveness of the different treatment modalities and a comparative study was done over a period of 6 months with 2nd, 4th month and 6th month followup following treatment. Out of 58 patients in the study, 27 were Females and 31 were Males. Patients included in the survey were between 20 and 40 years and belonged to either sex and had their complaints for over 3-month duration. Patients with elbow pain aetiology due to other problems or those who had previous treatment with any form of injection were excluded from the study. 1ml of 2% Xylocaine was injected before injecting the treatment modality formulation decided under trial. Pain scoring was done using VAS and FPS. Statistical analysis was done using Fisher’s exact test at 12 and 24 weeks.
Results: 29 elbows were included in each group with 27 females and 31 males. At 2nd and 4th months, patients in both the PRP and triamcinolone groups had pain relief (P < 0.05). At the 6th month follow-up, statistically significant results of better pain relief was found with the PRP group when compared to the triamcinolone group. In triamcinolone group 13 patients had injection site hypopigmentation and 3 patients had subdermal atrophy.
Conclusion: After following up the patient it was seen that PRP gives better pain relief when compared to injection of triamcinolone as treatment of tennis elbow and there is also need for long term studies to asses the duration of symptom relief and to confirm the findings from our study.
Keywords: PRP, Platelet Rich Plasma, Infiltration, Triamcinolone, Steroid, Saline, Placebo, Lateral Epicondylitis, Tennis Elbow.
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|How to Cite this Article: Thomas R, Raffic M, Anoop S | Assessing the effectiveness of PRP infiltration Vs Triamcinolone injection for management of lateral epicondylitis | Kerala Journal of Orthopaedics | July – Dec 2019; 32(2): 26-30.