Comparison of Hyaluronic Acid, PRP and Steroid Injections in Partial Rotator Cuff Tears: A Prospective Randomized Study

Clinical and Radiological Comparison of the Efficacy of Hyaluronic Acid, PRP and Steroid Injections in Partial Rotator Cuff Tears: A Prospective Randomized Study

There are many conservative treatment options available for partial rotator cuff tears. However, the superiority of a certain type of injection could not be demonstrated with the available data. Our aim is to compare the effectiveness of steroid, hyaluronic acid, prp and placebo (normal saline) injections in partial rotator cuff tears by applying the same physical therapy protocol after injection.

Inclusion Criteria:

• persistent continous pain at least 3 months
• partial thickness rotator cuff tear on MRI

Exclusion Criteria:

• inflammatory disease
• pregnancy
• known malignancy
• bleeding disorder ( or <10 g/dl Hb level, <150.000 ul platelet)
• previous shoulder injection
• history of shoulder surgery
• full-thickness tear
• other shoulder problem (osteoarthritis, bony lesions, etc)