Biologically Enhanced Repair of Interstitial Rotator Cuff Tears With Intralesional Platelet-Rich Plasma and Bursal Tissue Injection

Evidence from laboratory and animal studies provides groundwork for understanding mechanisms and potential before human studies continue.

• Level A · Stronger Clinical Evidence
• Level B · Emerging clinical evidence with positive signals
• Level C · Early human research exploring benefits
• Level D · Scientific groundwork from lab and animal studies
• Emerging · Emerging topic under active research

Abstract (original English)

Rotator cuff tendinopathy is a common and important source of shoulder pain. Symptoms tend to worsen over time and can progress to partial- or full-thickness rotator cuff tears. This can lead to increased pain and a further decrease in function. The use of orthobiologics for surgical augmentation has been a subject of much interest and discussion regarding its potential adjuvant assistance in rotator cuff reconstruction. We describe a transtendinous repair of large interstitial rotator cuff tears augmented by injecting platelet-rich plasma and autologous bursal tissue into the interstitial defect prior to reconstruction.

Evidence level

Evidence from laboratory and animal studies provides groundwork for understanding mechanisms and potential before human studies continue.

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