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Distal Clavicular Osteolysis Treated With Platelet-Rich Plasma: A Case Report
Alexander R Kim1, Carlton J Covey
1David Grant Medial Center, Travis Air Force Base, California.
Summary
This study shows platelet-rich plasma (PRP) injections effectively treated refractory distal clavicular osteolysis (DCO) in a young athlete. This offers a new treatment option for athletes experiencing persistent shoulder pain from DCO.
Area of Science:
- Orthopedics
- Sports Medicine
- Regenerative Medicine
Background:
- Distal clavicular osteolysis (DCO) causes shoulder pain in athletes due to repetitive overhead activities.
- Acromioclavicular (AC) joint pain is localized and exacerbated by physical examination.
- Conservative treatments like physical therapy and corticosteroid injections are often insufficient for DCO.
Observation:
- A young athlete presented with refractory distal clavicular osteolysis.
- The athlete's condition did not improve with standard conservative management.
- Surgical consultation was considered due to the persistent nature of the osteolysis.
Findings:
- Platelet-rich plasma (PRP) injections have shown promise in treating various musculoskeletal injuries.
- This case study details the successful use of an ultrasound-guided PRP injection into the AC joint for DCO.
- No prior studies have evaluated PRP efficacy specifically for distal clavicle osteolysis.
Implications:
- Ultrasound-guided PRP injections may be a viable treatment for refractory distal clavicular osteolysis.
- This approach could offer an alternative to surgery for affected athletes.
- Further research is warranted to confirm the efficacy and long-term outcomes of PRP for DCO.
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