Eigenbluttherapien und Hyaluronsäure – Injektionsbehandlungen in der Sportmedizin

Infiltrationen sind in der Sportmedizin weit verbreitet. Neben den bewährten Kortikoiden werden zunehmend neuere Präparate wie Hyaluronsäure, Platelet-Rich Plasma und autologes konditioniertes Plasma eingesetzt. In der Laienpresse wird vor allem bei Hochleistungsportlern über diese Therapien mit dramatischen Heilerfolgen berichtet. Eine Übersicht über die einzelnen Verfahren hilft in der Einordnung und realistischen Einschätzung der Möglichkeiten und Grenzen dieser neuen Therapien.

Publikationsverlauf

Artikel online veröffentlicht:
04. September 2020

• Literatur

• 1 Arirachakaran A, Sukthuayat A, Sisayanarane T. et al. Platelet-rich plasma versus autologous blood versus steroid injection in lateral epicondylitis: Systematic review and network meta-analysis. J Orthop Traumatol 2016; 17 (02) 101-112
• 2 Barker SL, Bell SN, Connell D. et al. Ultrasound-guided platelet-rich plasma injection for distal biceps tendinopathy. Shoulder & Elbow 2015; 7 (02) 110-114
• 3 Biedert RM, Braun M, Baumann M. et al. Infiltrationen im Sport. Sport-Orthopädie – Sport-Traumatologie – Sports Orthopaedics and Traumatology 2009; 25 (02) 103-110
• 4 Brander VA, Gomberawalla A, Chambers M. et al. Efficacy and safety of hylan G-F 20 for symptomatic glenohumeral osteoarthritis: A prospective, pilot study. PM & R 2010; 2 (04) 259-267
• 5 Campbell KA, Erickson BJ, Saltzman BM. et al. Is local viscosupplementation injection clinically superior to other therapies in the treatment of osteoarthritis of the knee: A systematic review of overlapping meta-analyses. Arthroscopy 2015; 31 (10) 2036-45.e14
• 6 Campbell KA, Saltzman BM, Mascarenhas R. et al. Does intra-articular platelet-rich plasma injection provide clinically superior outcomes compared with other therapies in the treatment of knee osteoarthritis? A systematic review of overlapping meta-analyses. Arthroscopy 2015; 31 (11) 2213-2221
• 7 Erggelet C, Vavken P. Evidenz in Eigenbluttherapien: PRP, ACP, ACS. (2017). Evidenz in Eigenbluttherapien: PRP, ACP, ACS. Swiss Sports & Exercise Medicine 2017; 65: 21-25
• 8 Gille J, Bark S, Riepenhof H. et al. Infiltrationsbehandlung bei akuten Muskelverletzungen: Sinn oder Unsinn?. Deutsche Zeitschrift Für Sportmedizin 2013; 04: 98-102
• 9 Gosens T, Peerbooms JC, van Laar W. et al. Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: A double-blind randomized controlled trial with 2-year follow-up. Am J Sports Med 2011; 39 (06) 1200-1208
• 10 Injektions-Therapie. Injektions-Therapie 2020; 1-59
• 11 de Jonge S, de Vos RJ, van Schie HT. et al. One-year follow-up of a randomised controlled trial on added splinting to eccentric exercises in chronic midportion Achilles tendinopathy. Br J Sports Med 2010; 44 (09) 673-677
• 12 Laudy ABM, Bakker EWP, Rekers M. et al. Efficacy of platelet-rich plasma injections in osteoarthritis of the knee: A systematic review and meta-analysis. British Journal of Sports Medicine 2015; 49 (10) 657-672
• 13 Menetrey J, Kasemkijwattana C, Day CS. et al. Growth factors improve muscle healing in vivo. J Bone Joint Surg Br 2000; 82 (01) 131-7
• 14 Merolla G, Sperling JW, Paladini P. et al. Efficacy of Hylan G-F 20 versus 6-methylprednisolone acetate in painful shoulder osteoarthritis: A retrospective controlled trial. Musculoskeletal Surgery 2011; 95 (03) 215-224
• 15 Sanli I, Morgan B, van Tilborg F. et al. Single injection of platelet-rich plasma (PRP) for the treatment of refractory distal biceps tendonitis: Long-term results of a prospective multicenter cohort study. Knee Surg Sports Traumatol Arthrosc 2016; 24 (07) 2308-2312
• 16 Silverstein E, Leger R, Shea KP. The use of intra-articular hylan G-F 20 in the treatment of symptomatic osteoarthritis of the shoulder: A preliminary study. American Journal of Sports Medicine 2007; 35 (06) 979-985
• 17 Vavken P, Sadoghi P, Murray MM. The effect of platelet concentrates on graft maturation and graft-bone interface healing in anterior cruciate ligament reconstruction in human patients: A systematic review of controlled trials. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2011; 27 (11) 1573-1583
• 18 Wright-Carpenter T, Klein P, Schäferhoff P. et al. Treatment of muscle injuries by local administration of autologous conditioned serum: A pilot study on sportsmen with muscle strains. Int J Sports Med 2004; a 25 (08) 588-593
• 19 Wright-Carpenter T, Opolon P, Appell HJ. et al. Treatment of muscle injuries by local administration of autologous conditioned serum: Animal experiments using a muscle contusion model. Int J Sports Med 2004; b 25 (08) 582-587