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The 2020 NBA Orthobiologics Consensus Statement.

Brian J Cole1, Ron Gilat1,2, John DiFiori3

  • 1Midwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, USA.

Orthopaedic Journal of Sports Medicine
|May 21, 2021
PubMed
Summary
This summary is machine-generated.

Orthobiologic injections show promise for athlete recovery and pain reduction in specific injuries. However, robust data is lacking for widespread use, emphasizing player safety and clinical judgment. Further research and standardization are needed.

Keywords:
BMACNBANational Basketball AssociationPRPconsensus statementorthobiologics

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Regenerative Medicine

Background:

  • Orthobiologic injections are increasingly utilized in sports medicine for musculoskeletal injuries.
  • These treatments offer potential for pain reduction and expedited return to play in athletes.
  • Current literature highlights a need for more robust data regarding efficacy and safety.

Purpose of the Study:

  • To summarize current literature and provide clinical guidelines for orthobiologic use in professional athletes.
  • To assess the evidence supporting specific orthobiologic treatments for common sports-related injuries.
  • To identify areas requiring further research and regulatory standardization.

Main Methods:

  • Consensus statement development based on a review of available literature.
  • Analysis of clinical guidelines for team physicians and players.
  • Evaluation of evidence for platelet-rich plasma and mesenchymal stromal cells.

Main Results:

  • Leukocyte-poor platelet-rich plasma shows support for knee osteoarthritis treatment.
  • Leukocyte-rich platelet-rich plasma may be considered for patellar tendinopathy.
  • Mesenchymal stromal cell efficacy for joint/soft tissue injuries remains unproven, with limited evidence of functional tissue regeneration.

Conclusions:

  • Orthobiologics are generally safe but require unbiased clinical judgment and a focus on player safety.
  • Evidence-based treatment algorithms are needed to optimize orthobiologic formulations for specific injuries.
  • Standardization and regulatory changes are necessary due to increasing utilization and variability in formulations.