Clinical Indications and Techniques for the Use of Platelet-Rich Plasma in the Elbow

Abstract

Platelet-rich plasma (PRP) is an emerging biological treatment option in sports medicine. Its value is best established for elbow-related disorders, such as lateral epicondylar tendinopathy. This common condition typically resolves with simple treatment modalities, such as rest, icing, anti-inflammatory medications, and physical therapy. In cases that are not resolved by these measures, other options such as cortisone injections and surgery are considered. Level one data now support the use of PRP in patients who have chronic tennis elbow. It is important to note that the formulation of PRP contains both concentrated platelets and white blood cells. The specific technical steps on how to prepare PRP and treat a patient with chronic lateral epicondylitis are outlined in this article. Using PRP to treat medial epicondylar tendinopathy, triceps tendinopathy, distal biceps tendinopathy, and partial elbow ligament injuries is under investigation.