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The Use of Adipose-Derived Progenitor Cells and Platelet-Rich Plasma Combination for the Treatment of Supraspinatus Tendinopathy in 55 Dogs: A Retrospective Study

View Article: PubMed Central - PubMed

ABSTRACT

Objective: To report clinical findings and outcomes for 55 dogs with supraspinatus tendinopathy (ST) treated with adipose-derived progenitor cells and platelet-rich plasma (ADPC-PRP) therapy.

Methods: Medical records of client-owned dogs diagnosed with ST that were treated with ADPC-PRP combination therapy were reviewed from 2006 to 2013. Data collected included signalment, medical history, limb involvement, prior treatments, physical and orthopedic examination, objective temporospatial gait analysis findings, diagnostic imaging results (radiography, magnetic resonance imaging, musculoskeletal ultrasonography), arthroscopy findings, and outcome.

Results: Following ultrasound-guided injection of ADPC-PRP, objective gait analysis was available on 25 of the 55 dogs at 90 days post ADPC-PRP therapy. Following treatment, a significant increase in total pressure index percentage (TPI%) was noted in the injured (treated) forelimb at 90 days post treatment (p = 0.036). At 90 days following treatment, 88% of cases had no significant difference in TPI% of the injured limb to the contralateral limb. The remaining 12% of cases had significantly improved (p = 0.036). Bilateral shoulder diagnostic musculoskeletal ultrasound revealed a significant reduction in tendon size (CSA) in the treated tendon at 90 days following treatment when compared to the initial CSA (p = 0.005). All cases showed significant improvement in fiber pattern of the affected supraspinatus tendon by the ultrasound shoulder pathology rating scale.

Clinical relevance: These findings suggest that ADPC-PRP therapy should be considered for dogs with ST.

No MeSH data available.


Related in: MedlinePlus

Ultrasound guidance was used to administer ADPC-PRP therapy with a fenestration technique. A 22-gage needle was inserted along the long axis of the supraspinatus tendon (red arrow), parallel to the ultrasound transducer. Once the needle was identified in the plane, the needle was advanced into the tendon lesion.
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Figure 3: Ultrasound guidance was used to administer ADPC-PRP therapy with a fenestration technique. A 22-gage needle was inserted along the long axis of the supraspinatus tendon (red arrow), parallel to the ultrasound transducer. Once the needle was identified in the plane, the needle was advanced into the tendon lesion.

Mentions: Ultrasound guidance was used to administer ADPC-PRP therapy with a fenestration technique (46, 47). Patients were sedated using 0.05 mg/kg of dexdomitor and 0.2 mg/kg of butorphanol intravenously. The shoulder was clipped and aseptically prepared. A 22-gage, 1.5″ needle was inserted along the long axis of the tendon, parallel to the ultrasound transducer. Once the needle was identified in the plane, the needle was advanced into the tendon lesion. As the needle was slowly passed into the lesion and withdrawn, ADPC-PRP was injected into the lesion (Figure 3). Proper placement and delivery of the ADPC-PRP was monitored continuously using ultrasound guidance.


The Use of Adipose-Derived Progenitor Cells and Platelet-Rich Plasma Combination for the Treatment of Supraspinatus Tendinopathy in 55 Dogs: A Retrospective Study
Ultrasound guidance was used to administer ADPC-PRP therapy with a fenestration technique. A 22-gage needle was inserted along the long axis of the supraspinatus tendon (red arrow), parallel to the ultrasound transducer. Once the needle was identified in the plane, the needle was advanced into the tendon lesion.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5016533&req=5

Figure 3: Ultrasound guidance was used to administer ADPC-PRP therapy with a fenestration technique. A 22-gage needle was inserted along the long axis of the supraspinatus tendon (red arrow), parallel to the ultrasound transducer. Once the needle was identified in the plane, the needle was advanced into the tendon lesion.
Mentions: Ultrasound guidance was used to administer ADPC-PRP therapy with a fenestration technique (46, 47). Patients were sedated using 0.05 mg/kg of dexdomitor and 0.2 mg/kg of butorphanol intravenously. The shoulder was clipped and aseptically prepared. A 22-gage, 1.5″ needle was inserted along the long axis of the tendon, parallel to the ultrasound transducer. Once the needle was identified in the plane, the needle was advanced into the tendon lesion. As the needle was slowly passed into the lesion and withdrawn, ADPC-PRP was injected into the lesion (Figure 3). Proper placement and delivery of the ADPC-PRP was monitored continuously using ultrasound guidance.

View Article: PubMed Central - PubMed

ABSTRACT

Objective: To report clinical findings and outcomes for 55 dogs with supraspinatus tendinopathy (ST) treated with adipose-derived progenitor cells and platelet-rich plasma (ADPC-PRP) therapy.

Methods: Medical records of client-owned dogs diagnosed with ST that were treated with ADPC-PRP combination therapy were reviewed from 2006 to 2013. Data collected included signalment, medical history, limb involvement, prior treatments, physical and orthopedic examination, objective temporospatial gait analysis findings, diagnostic imaging results (radiography, magnetic resonance imaging, musculoskeletal ultrasonography), arthroscopy findings, and outcome.

Results: Following ultrasound-guided injection of ADPC-PRP, objective gait analysis was available on 25 of the 55 dogs at 90 days post ADPC-PRP therapy. Following treatment, a significant increase in total pressure index percentage (TPI%) was noted in the injured (treated) forelimb at 90 days post treatment (p = 0.036). At 90 days following treatment, 88% of cases had no significant difference in TPI% of the injured limb to the contralateral limb. The remaining 12% of cases had significantly improved (p = 0.036). Bilateral shoulder diagnostic musculoskeletal ultrasound revealed a significant reduction in tendon size (CSA) in the treated tendon at 90 days following treatment when compared to the initial CSA (p = 0.005). All cases showed significant improvement in fiber pattern of the affected supraspinatus tendon by the ultrasound shoulder pathology rating scale.

Clinical relevance: These findings suggest that ADPC-PRP therapy should be considered for dogs with ST.

No MeSH data available.


Related in: MedlinePlus