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Jul 11, 2021

Treatment of Partial and Full Thickness Rotator Cuff Tears with Bone Marrow Concentrate and Platelet Products Compared to Exercise Therapy

In a recent publication by Dr. Centeno et al., pateints with partial to full thickness, nonretracted supraspinatus tendon tears were enrolled into 2 experimental groups. Half of the patients received a bone marrow derived mesenchymal stem cell and PRP injection and half of the patients only were treated with exercise.

A midterm publication of 25 patients who had reached the 12-month follow-up demonstrated significant improvement in pain and function. In addition, MRI showed that the size of the tear decreased in most patients after a bone marrow concentrate stem cell injection.

Conclusion: Dr. Centeno found that ultrasound guided bone marrow concentrate/PRP injections were safe and a viable alternative for torn, nonretracted supraspinatus tendon tears.

What is a rotator cuff tear?

There are 4 rotator cuff tendons in the shoulder. The supraspinatus tendon crosses over the top of the shoulder and is most commonly injured. Rotator cuff tears can be partial or full thickness tears. Learn more about rotator cuff tears here.

Can rotator cuff tears be treated with orthobiologics?

Not call tears require surgery, but the literature on orthobiologics for rotator cuff tears is mixed. Some of these mixed results maybe due to differences in the study design, such as the type of rotator cuff injury included or the type of orthobiologic injection.

Typically, partial tears can be treated conservatively and are candidates for regenerative injections. What is interesting about this study is that even full thickness tears improved with bone marrow concentrate/PRP injections.

How do you decide if you are a candidate for PRP or autologous stem cell injections?

Determining the integrity of the rotator cuff tendons is essential in deciding between surgical and non-surgical management. Multiple studies have demonstrated that US and MRI have comparable accuracy in diagnosing RCTs before surgery, although the accuracy of US is more operator-dependent (Okoroha et al. 2019).

Dr. Sussman has extensive training is diagnostic ultrasound and only one of 9 physicians in Massachusetts certified in musculoskeletal ultrasound. In our clinic, a diagnostic ultrasound can provide valuable information about the size and degree of the rotator cuff tear.

Rotator Cuff Tears

Learn more about the type of tears and what kind of rotator cuff tear can be treated with regenerative injections.

PRP Injections for Rotator Cuff Tears

Learn more about regenerative injections for rotator cuff tears, including how PRP can help avoid surgery

Bone Marrow Concentrate Injection

Bone marrow aspirate concentrate, or BMAC, is a safe and reliable source of mesenchymal stem cells (MSCs), and one of the few forms of stem cell delivery in compliance with the US FDA guidelines.

To schedule a consultation and learn if you are a candidate call to schedule with Dr. Sussman at:


(781) 591-7855

info@BSBortho.com

20 Walnut St

Suite 14

Wellesley MA 02481

References:

  1. Centeno C, Fausel Z, Stemper I, Azuike U, Dodson E. A Randomized Controlled Trial of the Treatment of Rotator Cuff Tears with Bone Marrow Concentrate and Platelet Products Compared to Exercise Therapy: A Midterm Analysis. Stem Cells Int. 2020 Jan 30;2020:5962354.
  2. Okoroha, K. R., Fidai, M. S., Tramer, J. S., Davis, K. D., & Kolowich, P. A. (2019). Diagnostic accuracy of ultrasound for rotator cuff tears. Ultrasonography (Seoul, Korea), 38(3), 215–220.

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Jul 11, 2021

Treatment of Partial and Full Thickness Rotator Cuff Tears with Bone Marrow Concentrate and Platelet Products Compared to Exercise Therapy

Determining the integrity of the rotator cuff tendons is essential in deciding between surgical and non-surgical management. Typically we do not consider full thickness tears candidates for orthobiologic injections, but

Read More