Prp for glenoid labrum tears and gh oa introduction Glenoid labral lesions can often lead to significant discomfort and restriction during daily living activities, as well as various sporting activities.
Prp for glenoid labrum tears and gh oa introduction Glenoid labral lesions can often lead to significant discomfort and restriction during daily living activities, as well as various sporting activities. This can lead to instability and glenohumeral osteoarthritis, which is another source of pain and disability for patients. Depending on multiple factors, many may not be ready to address this with any type of surgical intervention and sports medicine providers need to know the evidence supporting other treatment options that may be available.
Platelet-rich plasma (PRP) consists of an autologous concentration of platelets isolated from whole blood via centrifugation. The proposed mechanism is that PRP initiates the body’s own repair processes, modulates inflammation, delivers growth factors, and attracts and activates mesenchymal stem cells, which promote a healing environment and reduce pain. In vitro studies have shown PRP to induce downregulation of the crucial inflammatory molecules Interleukin 6 and Interleukin 8, which can help attenuate hyperalgesia.
Multiple studies have used platelet-rich plasma (PRP) injections in and around the shoulder joint including the use of PRP injection in frozen shoulder, rotator cuff tear, calcific tendinitis, and subacromial impingement. The results have been favorable overall with most studies reporting improvement in terms of pain and function. There have been limited studies performed evaluating PRP for glenoid labrum tears or glenohumeral osteoarthritis.
One small case series by Vander Kraats and Doss evalatued the effectiveness of PRP following a glenoid labrum tear. The PRP was placed into the glenohumeral joint adjacent to the labral tear and was followed by a progressive rehabilitation program and followed for more than a year. The subjects had no adverse effects and were able to return to full sporting activity without pain.
A case control study with 40 patients also recently evaluated the healing response and functional outcome in patients following a leukocyte poor platelet-rich plasma (PRP) injection during an arthroscopic Bankart repair. The mean age was 26 years with the majority being male (90%). At 12 months, functional scores and symptoms were better in the PRP group.
If you are experiencing symptoms that may be related to prp for glenoid labrum tears and osteoarthritis, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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