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Thomas Jefferson University

Master of Science in Physician Assistant Studies Capstone Presentations (Center City)

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The Combination Of Platelet Rich Plasma And Corticosteroids In Musculoskeletal And Musculotendinous Pathologies, Mikayla Stoudt Aug 2023

The Combination Of Platelet Rich Plasma And Corticosteroids In Musculoskeletal And Musculotendinous Pathologies, Mikayla Stoudt

Master of Science in Physician Assistant Studies Capstone Presentations (Center City)

Background

- 126 million Americans reported to have a musculoskeletal or musculotendinous pathology in 20121

- Combined direct and indirect cost of these injuries in 2015 was $874 billion1

- Corticosteroid injections have been the mainstay of invasive management after conservative methods fail
Long-term effects of corticosteroids

  • Intra-articular injections for knee osteoarthritis resulted in cartilage volume loss10
  • Harm to flexor tendons, neurovascular structures, and compromised integrity7, 11

- Platelet Rich Plasma

  • Sample patient blood --> Centrifuge --> Separate plasma and platelets from other blood products --> Reconcentrate the platelets into the plasma
  • Platelets release growth factor …