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Published on: November 9, 2016
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The Use of Botulinum Toxin in Pre-Pubic Aponeurotic Complex Injuries: A Case Report.
Gian Nicola Bisciotti1, Auci Alessio2, Andrea Bisciotti1,3
1Kinemove Rehabilitation Centers Pontremoli- La Spezia, Pontremoli, Italy.
Journal of Orthopaedic Case Reports
|October 9, 2024
Summary
A novel treatment combining botulinum toxin (BTX) and platelet-rich plasma therapy (PRPt) successfully healed a pre-pubic aponeurotic complex (PPAC) lesion in a decathlete. This therapy restored the athlete to full function without pain after three years.
Area of Science:
- Sports Medicine
- Regenerative Medicine
- Musculoskeletal Imaging
Background:
- The pre-pubic aponeurotic complex (PPAC) is a critical structure prone to injury during athletic activities involving pelvic rotation.
- PPAC lesions can significantly impact an athlete's career, necessitating effective treatment strategies.
Observation:
- A case report details a 23-year-old national-level decathlete with a PPAC lesion.
- The patient underwent ultrasound-guided infiltration therapy using botulinum toxin (BTX) and platelet-rich plasma therapy (PRPt) targeting the longus adductor (LA) and rectus abdominis (RA) muscles.
Findings:
- Magnetic resonance imaging at 24 weeks post-treatment showed complete healing of the PPAC lesion.
- The patient experienced complete pain resolution and returned to his previous level of athletic performance at a 3-year follow-up.
Implications:
- Combined BTX infiltration and PRPt may offer a promising new therapeutic approach for PPAC lesions.
- This treatment modality could enable athletes to achieve full recovery and return to sport after debilitating injuries.
