Efficacy of Ultrasound-Guided PRP Versus Corticosteroid Injection in Patients With Ulnar Neuropathy at Elbow

Launched by TANTA UNIVERSITY · Oct 1, 2022

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Eligibility criteria

• Inclusion Criteria:
• • Patients with ulnar neuropathy at elbow diagnosed clinically and by electrophysiology and/or ultrasonography.
• Exclusion Criteria:
• • 1. Patients with severe ulnar neuropathy at elbow according to Gu's classification. 15
• • 2. Brachial plexopathy, peripheral neuropathy, and cervical radiculopathy.
• • 3. History of recent elbow trauma or operation.
• • 4. Malignant neoplasm.
• • 5. Pregnancy.
• • 6. Bleeding Disorders.
• • 7. Factors affecting nerve healing process e.g., tobacco use and systemic corticosteroid administration.
• 8. Contraindications for PRP injection:
• • 1. Significant renal or hepatic dysfunction.
• • 2. Critical thrombocytopenia.
• • 3. Hemodynamic instability.
• • 4. Septicemia.
• • 5. Local infection at the site of the procedure.
• • 6. Consistent use of nonsteroidal anti-inflammatory drugs within the last two weeks.
• • 7. Local injection at the suspected treatment site within the last month.
• • 8. Recent fever or illness.
• • 9. Hemoglobin level \<10 g/dL.
• • 10. Platelet dysfunction disorders.