{"id":20374,"date":"2024-05-26T19:04:25","date_gmt":"2024-05-26T17:04:25","guid":{"rendered":"https:\/\/looketmedecine.fr\/?p=20374"},"modified":"2024-10-05T23:39:59","modified_gmt":"2024-10-05T21:39:59","slug":"plasma-riche-en-plaquettes-et-tendinopathie-calcaneenne-marine-delcrosmd","status":"publish","type":"post","link":"https:\/\/looketmedecine.fr\/en\/plasma-riche-en-plaquettes-et-tendinopathie-calcaneenne-marine-delcrosmd\/","title":{"rendered":"LM N\u00b01\/ 2024. PLATELET-RICH PLASMA AND CALCANEAL TENDINOPATHY. Marine DELCROS,MD.\u00a0"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"20374\" class=\"elementor elementor-20374\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c061335 e-flex e-con-boxed e-con e-parent\" data-id=\"c061335\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a5b8085 elementor-widget elementor-widget-image\" data-id=\"a5b8085\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"233\" height=\"300\" src=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-05-26-a-19.01.33-e1716743312322-233x300.png\" class=\"attachment-medium size-medium wp-image-20375\" alt=\"tendon calcan\u00e9en\" srcset=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-05-26-a-19.01.33-e1716743312322-233x300.png 233w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-05-26-a-19.01.33-e1716743312322-9x12.png 9w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-05-26-a-19.01.33-e1716743312322.png 748w\" sizes=\"(max-width: 233px) 100vw, 233px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1dcd5fe elementor-widget elementor-widget-heading\" data-id=\"1dcd5fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PREMIERS PAS ET PROC\u00c9DURES TH\u00c9RAPEUTIQUES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-04e0c3c elementor-widget elementor-widget-heading\" data-id=\"04e0c3c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PLASMA RICHE EN PLAQUETTES ET TENDINOPATHIE CALCAN\u00c9ENNE.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f361a2 elementor-widget elementor-widget-heading\" data-id=\"7f361a2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">MARINE DELCROS.MD<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88b6460 elementor-widget elementor-widget-image\" data-id=\"88b6460\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"793\" height=\"1024\" src=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/060_065_Delcros-tout-ce-que-vous-voulez-savoir_page-0006-793x1024.jpg\" class=\"attachment-large size-large wp-image-20268\" alt=\"delcros 6\" srcset=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/060_065_Delcros-tout-ce-que-vous-voulez-savoir_page-0006-793x1024.jpg 793w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/060_065_Delcros-tout-ce-que-vous-voulez-savoir_page-0006-232x300.jpg 232w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/060_065_Delcros-tout-ce-que-vous-voulez-savoir_page-0006-768x991.jpg 768w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/060_065_Delcros-tout-ce-que-vous-voulez-savoir_page-0006-1190x1536.jpg 1190w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/060_065_Delcros-tout-ce-que-vous-voulez-savoir_page-0006-9x12.jpg 9w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/060_065_Delcros-tout-ce-que-vous-voulez-savoir_page-0006.jpg 1359w\" sizes=\"(max-width: 793px) 100vw, 793px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ebd38d9 elementor-widget elementor-widget-text-editor\" data-id=\"ebd38d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Le plasma riche en plaquettes (PRP) est largement utilis\u00e9 en intra-articulaire, coupl\u00e9 la plupart du temps \u00e0 l\u2019acide hyaluronique. <\/strong><\/p><ul><li><strong>La protocolisation de son utilisation fait encore d\u00e9bat mais tend \u00e0 s\u2019uniformiser gr\u00e2ce au regroupement et aux \u00e9changes des experts internationaux.<\/strong><\/li><li><strong>L\u2019usage du PRP dans les tendinopathies donne de bons r\u00e9sultats en pratique, mais les \u00e9tudes ne sont pas formelles concernant son efficacit\u00e9 [<a href=\"#_bookmark2\">1<\/a>].<\/strong><\/li><li><strong>N\u00e9anmoins, les \u00e9tudes correctement men\u00e9es sont rares : des conceptions plus rigoureuses et des essais cliniques standardis\u00e9s contr\u00f4l\u00e9s et randomis\u00e9s sont n\u00e9cessaires pour produire des r\u00e9sultats plus fiables et plus pr\u00e9cis.<\/strong><\/li><\/ul><p><strong>Le tendon calcan\u00e9en sert souvent de mod\u00e8le pour l\u2019\u00e9tude du PRP puisque superficiel et facile d\u2019acc\u00e8s.<\/strong><\/p><ul><li><strong>La tendinopathie calcan\u00e9enne chronique est une pathologie fr\u00e9quente et rapidement g\u00eanante au quotidien.<\/strong><\/li><li><strong>Elle repr\u00e9sente 6 \u00e0 18 % des blessures des coureurs [<a href=\"#_bookmark3\">2<\/a>, <a href=\"#_bookmark4\">3<\/a>].<\/strong><\/li><li><strong>De nombreux facteurs intrins\u00e8ques et extrins\u00e8ques contribuent au d\u00e9veloppement de la tendinopathie calcan\u00e9enne : le surmenage, un entra\u00eenement physique ou du mat\u00e9riel inadapt\u00e9, une raideur de la cha\u00eene post\u00e9rieure, une variabilit\u00e9 anatomique&#8230; cr\u00e9ant alors des microtraumatismes locaux r\u00e9p\u00e9t\u00e9s, qui entra\u00eenent ensuite des changements d\u00e9g\u00e9n\u00e9ratifs et dans les cas extr\u00eames, une rupture partielle ou compl\u00e8te du tendon calcan\u00e9en [<a href=\"#_bookmark5\">4<\/a>].<\/strong><\/li><\/ul><p><strong>La prise en charge n\u2019est pas standardis\u00e9e mais repose:<\/strong><\/p><ul><li><strong>en premi\u00e8re ligne sur le traitement conservateur avec de la r\u00e9\u00e9ducation (charge progressive du tendon, renforcement en excentrique selon le protocole de Stanish [<a href=\"#_bookmark6\">5<\/a>], <\/strong><\/li><li><strong>des antalgiques <em>per os <\/em>(anti-inflammatoires non st\u00e9ro\u00efdiens, corticost\u00e9ro\u00efdes), <\/strong><\/li><li><strong>la correction des facteurs pr\u00e9disposants, <\/strong><\/li><li><strong>le port \u00e9ventuel de semelles orthop\u00e9diques, etc\u2026<\/strong><\/li><\/ul><p><strong>En seconde ligne viennent:<\/strong><\/p><ul><li><strong> les traitement infiltratifs (acide hyaluronique, corticost\u00e9ro\u00efdes, toxine botulinique et PRP) [<a href=\"#_bookmark7\">6<\/a>], <\/strong><\/li><li><strong>et la chirurgie est r\u00e9serv\u00e9e aux cas de rupture totale ou d\u2019\u00e9chec des autres th\u00e9rapeutiques.<\/strong><\/li><\/ul><p><span style=\"color: #0000ff;\"><strong>Toutefois, les pratiques restent mal d\u00e9finies et la pathologie \u00e9volue\u00a0souvent vers la chronicit\u00e9 [<a style=\"color: #0000ff;\" href=\"#_bookmark7\">6<\/a>].<\/strong><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-825b47e elementor-widget elementor-widget-image\" data-id=\"825b47e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"714\" height=\"932\" src=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.31.41.png\" class=\"attachment-large size-large wp-image-21350\" alt=\"\" srcset=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.31.41.png 714w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.31.41-230x300.png 230w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.31.41-9x12.png 9w\" sizes=\"(max-width: 714px) 100vw, 714px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-794dc85 elementor-widget elementor-widget-text-editor\" data-id=\"794dc85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong><em>Figure 1. <\/em><em>Cha\u00eene suro-achil\u00e9enne avec le volumineux tendon calcan\u00e9en en distalit\u00e9.<\/em><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d68ccc elementor-widget elementor-widget-text-editor\" data-id=\"8d68ccc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>D\u2019un point de vue biologique, des \u00e9tudes <em>in vitro <\/em>ont montr\u00e9 qu\u2019un PRP riche en leucocytes entra\u00eenait une augmentation de la prolif\u00e9ration, de la migration cellulaire, et ainsi de la synth\u00e8se de collag\u00e8ne.<\/strong><\/p><p><strong>En outre, la plupart des \u00e9tudes <em>in vivo <\/em>indiquent une augmentation de la teneur en collag\u00e8ne de type I. La qualit\u00e9 histologique globale des tendons en \u00e9tait am\u00e9lior\u00e9e, avec de meilleures propri\u00e9t\u00e9s biom\u00e9caniques [<a href=\"#_bookmark8\">7<\/a>].<\/strong><\/p><p><strong><em>A contrario<\/em>, une \u00e9tude sur les param\u00e8tres techniques influen\u00e7ant la qualit\u00e9 du PRP, a montr\u00e9 que la clinique se trouvait d\u2019autant plus am\u00e9lior\u00e9e que le PRP \u00e9tait produit dans un tube contenant un anticoagulant, centrifug\u00e9 \u00e0 basse vitesse, pauvre en leucocyte et sans \u00e9rythrocytes [<a href=\"#_bookmark9\">8<\/a>].<\/strong><\/p><p><strong>Dans une \u00e9tude comparative \u00e0 l\u2019injection de s\u00e9rum physiologique, on note que le PRP permet une augmentation de l\u2019expression d\u2019IL-10 et une r\u00e9duction de l\u2019IL-6 et de PGE2, allant dans le sens d\u2019une activit\u00e9 anti-inflammatoire au contact du tendon [<a href=\"#_bookmark10\">9<\/a>].<\/strong><\/p><p><strong>Du c\u00f4t\u00e9 chirurgical, des injections per- op\u00e9ratoire de PRP pour le traitement de la rupture totale aigu\u00eb du tendon d\u2019Achille ont am\u00e9lior\u00e9 de mani\u00e8re significative l\u2019angle de dorsiflexion de la cheville, la force d\u2019extension dorsale de la cheville et<\/strong><\/p><p><strong>la circonf\u00e9rence du mollet par rapport aux t\u00e9moins [<a href=\"#_bookmark11\">10<\/a>].<\/strong><\/p><p><strong>Une autre piste est l\u2019association du PRP (RegenPRP\u00ae) avec une pr\u00e9paration de thrombine autologue (RegenATS\u00ae), formant ainsi un gel plaquettaire, pauvre en leucocytes, avec un double int\u00e9r\u00eat de comblement et d\u2019effet prolong\u00e9 de lib\u00e9ration des facteurs de croissance.<\/strong><\/p><p><strong>Ce gel plaquettaire est int\u00e9ressant \u00e0 appliquer tant en per-op\u00e9ratoire lors des sutures tendineuses, qu\u2019en infiltration intratendineuse dans la tendinopathie (<a href=\"#_bookmark0\">Figure 1<\/a> et <a href=\"#_bookmark1\">Figure 2<\/a>).<\/strong><\/p><p><strong>Malgr\u00e9 tout, les donn\u00e9es des \u00e9tudes men\u00e9es \u00e0 ce jour ne rapportent globalement pas de sup\u00e9riorit\u00e9 de l\u2019infiltration intratendineuse de PRP par rapport au s\u00e9rum physiologique ou au dry-needling sous cutan\u00e9, ni de l\u2019ajout de PRP per-op\u00e9ratoire pour les ruptures tendineuses calcan\u00e9ennes.<\/strong><\/p><p><strong><em>Les r\u00e9sultats observ\u00e9s cliniquement par de nombreux confr\u00e8res sont pourtant positifs !<\/em><\/strong><\/p><p><strong><em>Quid de cette discordance \u00ab clinique <\/em>vs <em>r\u00e9sultats d\u2019\u00e9tudes \u00bb ? Des \u00e9tudes portant sur des \u00e9chantillons plus importants, avec des conceptions plus rigoureuses et des protocoles standardis\u00e9s, sont n\u00e9cessaires pour tirer des conclusions fiables et pr\u00e9cises.<\/em><\/strong><\/p><p><strong>Pour cela, savoir d\u00e9finir le type de tendinopathie est important puisque le choix de l\u2019indication d\u2019infiltration de PRP en d\u00e9coule [<a href=\"#_bookmark12\">11<\/a>] : les tendinopathies fissuraires, qu\u2019elles soient corpor\u00e9ales ou de leur enth\u00e8se, semblent les cas les plus r\u00e9pondeurs.<\/strong><\/p><p><strong>La prise Doppler Puissance en \u00e9chographie serait signe de bonne r\u00e9ponse au PRP. Le geste infiltratif accompagn\u00e9 de needling semble int\u00e9ressant.<\/strong><\/p><p><strong>Enfin les conseils inh\u00e9rents au geste et \u00e0 la pathologie devraient \u00eatre protocolis\u00e9s [<a href=\"#_bookmark12\">11<\/a>] : temps de repos, r\u00e9\u00e9ducation\u2026<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b20e73d elementor-widget elementor-widget-image\" data-id=\"b20e73d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"716\" height=\"1030\" src=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.33.58.png\" class=\"attachment-full size-full wp-image-21351\" alt=\"\" srcset=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.33.58.png 716w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.33.58-209x300.png 209w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.33.58-712x1024.png 712w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.33.58-8x12.png 8w\" sizes=\"(max-width: 716px) 100vw, 716px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-229cfa0 elementor-widget elementor-widget-text-editor\" data-id=\"229cfa0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong><em>Figure 1. <\/em><em>Renforcement en excentrique<\/em><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3f09ec elementor-widget elementor-widget-image\" data-id=\"a3f09ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"715\" src=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.35.40-1024x915.png\" class=\"attachment-large size-large wp-image-21355\" alt=\"\" srcset=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.35.40-1024x915.png 1024w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.35.40-300x268.png 300w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.35.40-768x686.png 768w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.35.40-13x12.png 13w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.35.40.png 1502w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d9fff2 elementor-widget elementor-widget-text-editor\" data-id=\"3d9fff2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong><em>Figure 1. <\/em><em>Tendinopathie calcan\u00e9enne corpor\u00e9ale fissuraire (coupes longitudinale et axiale) : Injection de RegenPRP\u00ae + RegenATS\u00ae dans la cavit\u00e9 corpor\u00e9ale, puis RegenPRP \u00ae au pourtour.\u00a0<\/em><span style=\"color: var( --e-global-color-text ); text-align: var(--text-align); font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 1rem;\">Dr P. Adam (Clinique M\u00e9dipole Garonne)<\/span><em style=\"color: var( --e-global-color-text ); font-weight: var( --e-global-typography-text-font-weight ); text-align: var(--text-align); font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 1rem;\">.<\/em><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a310bc elementor-widget elementor-widget-text-editor\" data-id=\"3a310bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Ces traitements doivent \u00eatre adapt\u00e9s en fonction du stade de la tendinopathie et du ph\u00e9notype du tendon impliqu\u00e9, en fonction de l\u2019\u00e2ge et des comorbidit\u00e9s du patient.<\/strong><\/p><p><strong>Plusieurs points sont \u00e0 \u00e9tudier : les crit\u00e8res diagnostiques cliniques et d\u2019imagerie de la tendinopathie calcan\u00e9enne doivent \u00eatre universels pour \u00e9viter l\u2019h\u00e9t\u00e9rog\u00e9n\u00e9it\u00e9 des patients et donc des \u00e9tudes, et les m\u00e9thodes de production du PRP doivent \u00eatre unifi\u00e9es [<a href=\"#_bookmark12\">11<\/a>].<\/strong><\/p><p><strong>L\u2019infiltration intratendineuse de PRP s\u2019inscrit dans une v\u00e9ritable chaine de soins, sur laquelle il fait insister, car nous restons persuad\u00e9s de son b\u00e9n\u00e9fice pour le patient.<\/strong><\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c982e08 elementor-widget elementor-widget-image\" data-id=\"c982e08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"462\" src=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.38.28-1024x591.png\" class=\"attachment-large size-large wp-image-21362\" alt=\"\" srcset=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.38.28-1024x591.png 1024w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.38.28-300x173.png 300w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.38.28-768x443.png 768w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.38.28-18x10.png 18w, https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-06-08-a-18.38.28.png 1504w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c51ab60 elementor-widget elementor-widget-text-editor\" data-id=\"c51ab60\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong><em>Figure 2. <\/em><em>Contr\u00f4le \u00e9chographique \u00e0 4 semaines post-infiltration \/ Fente r\u00e9siduelle. <\/em>Dr P. Adam (Clinique M\u00e9dipole Garonne)<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46c6844 elementor-widget elementor-widget-text-editor\" data-id=\"46c6844\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong><span style=\"color: #800080;\">R\u00c9F\u00c9RENCES<\/span><\/strong><\/p><ol><li><span style=\"color: #800080;\">Arthur Vithran DT, Xie W, Opoku M, Essien AE, He M, Li Y. The Efficacy of Platelet-Rich Plasma Injection Therapy in the Treatment of Patients with Achilles Tendinopathy: A Systematic Review and Meta-Analysis. Journal of clinical medicine. 2023;12(3).<\/span><\/li><li><span style=\"color: #800080;\">de Jonge S, van den Berg C, de Vos RJ, van der Heide HJ, Weir A, Verhaar JA, et al. Incidence of midportion Achilles tendinopathy in the general population. Br J Sports Med. 2011;45(13):1026-8.<\/span><\/li><li><span style=\"color: #800080;\">Van Middelkoop M, Kolkman J, Van Ochten J, Bierma-Zeinstra SM, Koes Prevalence and incidence of lower extremity injuries in male marathon runners. Scand J Med Sci Sports. 2008;18(2):140-4.<\/span><\/li><li><span style=\"color: #800080;\">Lu H, Yang H, Shen H, Ye G, Lin The clinical effect of tendon repair for tendon spontaneous rupture after corticosteroid injection in hands: A retrospective observational study. Medicine. 2016;95(41):e5145.<\/span><\/li><li><span style=\"color: #800080;\">Alfredson H, Pietila T, Jonsson P, Lorentzon R. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. The American journal of sports medicine. 1998;26(3):360-6.<\/span><\/li><li><span style=\"color: #800080;\">Zhang YJ, Xu SZ, Gu PC, Du JY, Cai YZ, Zhang C, Lin XJ. Is Platelet-rich Plasma Injection Effective for Chronic Achilles Tendinopathy? A Meta-analysis. Clin Orthop Relat Res. 2018;476(8):1633-41.<\/span><\/li><li><span style=\"color: #800080;\">Liu X, Li Y, Shen L, Yan M. Leukocyte and Platelet-Rich Plasma (L-PRP) in Tendon Models: A Systematic Review and Meta-Analysis of in vivo\/in vitro Studies. Evidence-based complementary and alternative medicine : eCAM. 2022;2022:5289145.<\/span><\/li><li><span style=\"color: #800080;\">Kaux JF, Emonds-Alt T. The use of platelet-rich plasma to treat chronic tendinopathies: A technical analysis. 2018;29(3):213-27.<\/span><\/li><li><span style=\"color: #800080;\">Darrieutort-Laffite C, Soslowsky LJ, Le Goff Molecular and Structural Effects of Percutaneous Interventions in Chronic Achilles Tendinopathy. International journal of molecular sciences. 2020;21(19).<\/span><\/li><li><span style=\"color: #800080;\">Wang C, Fan H, Li Y, Yun Z, Zhang Z, Zhu Q. Effectiveness of platelet-rich plasma injections for the treatment of acute Achilles tendon rupture: A systematic review and meta- analysis. 2021;100(41):e27526.<\/span><\/li><li><span style=\"color: #800080;\">Liu CJ, Yu KL, Bai JB, Tian DH, Liu Platelet-rich plasma injection for the treatment of chronic Achilles tendinopathy: A meta-analysis. Medicine. 2019;98(16):e1527<\/span><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>PREMIERS PAS ET PROC\u00c9DURES TH\u00c9RAPEUTIQUES PLASMA RICHE EN PLAQUETTES ET TENDINOPATHIE CALCAN\u00c9ENNE. MARINE DELCROS.MD Le plasma riche en plaquettes (PRP) est largement utilis\u00e9 en intra-articulaire, coupl\u00e9 la plupart du temps \u00e0 l\u2019acide hyaluronique. La protocolisation de son utilisation fait encore d\u00e9bat mais tend \u00e0 s\u2019uniformiser gr\u00e2ce au regroupement et aux \u00e9changes des experts internationaux. L\u2019usage [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":20375,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[160,156],"tags":[342,343,345],"auteur":[444],"mots-cles":[],"class_list":["post-20374","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-p-as","category-procedures-therapeutiques-fr","tag-lm1-2024-premiers-pas","tag-lm1-2024-replay","tag-lm1-2024-theme-procedures-therapeutiques","auteur-marine-delcros"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>LM N\u00b01\/ 2024. PLASMA RICHE EN PLAQUETTES ET TENDINOPATHIE CALCAN\u00c9ENNE. Marine DELCROS,MD.\u00a0 - Revue fran\u00e7aise N\u00b01 pour la recherche en sant\u00e9 esth\u00e9tique<\/title>\n<meta name=\"description\" content=\"Le plasma riche en plaquettes (PRP) est largement utilis\u00e9 en intra-articulaire, coupl\u00e9 la plupart du temps \u00e0 l\u2019acide hyaluronique. La protocolisation de son utilisation fait encore d\u00e9bat mais tend \u00e0 s\u2019uniformiser gr\u00e2ce au regroupement et aux \u00e9changes des experts internationaux.L\u2019usage du PRP dans les tendinopathies donne de bons r\u00e9sultats en pratique, mais les \u00e9tudes ne sont pas formelles concernant son efficacit\u00e9 [1].N\u00e9anmoins, les \u00e9tudes correctement men\u00e9es sont rares : des conceptions plus rigoureuses et des essais cliniques standardis\u00e9s contr\u00f4l\u00e9s et randomis\u00e9s sont n\u00e9cessaires pour produire des r\u00e9sultats plus fiables et plus pr\u00e9cis.Le tendon calcan\u00e9en sert souvent de mod\u00e8le pour l\u2019\u00e9tude du PRP puisque superficiel et facile d\u2019acc\u00e8s.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/looketmedecine.fr\/en\/wp-json\/wp\/v2\/posts\/20374\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LM N\u00b01\/ 2024. PLASMA RICHE EN PLAQUETTES ET TENDINOPATHIE CALCAN\u00c9ENNE. Marine DELCROS,MD.\u00a0 - Revue fran\u00e7aise N\u00b01 pour la recherche en sant\u00e9 esth\u00e9tique\" \/>\n<meta property=\"og:description\" content=\"Le plasma riche en plaquettes (PRP) est largement utilis\u00e9 en intra-articulaire, coupl\u00e9 la plupart du temps \u00e0 l\u2019acide hyaluronique. La protocolisation de son utilisation fait encore d\u00e9bat mais tend \u00e0 s\u2019uniformiser gr\u00e2ce au regroupement et aux \u00e9changes des experts internationaux.L\u2019usage du PRP dans les tendinopathies donne de bons r\u00e9sultats en pratique, mais les \u00e9tudes ne sont pas formelles concernant son efficacit\u00e9 [1].N\u00e9anmoins, les \u00e9tudes correctement men\u00e9es sont rares : des conceptions plus rigoureuses et des essais cliniques standardis\u00e9s contr\u00f4l\u00e9s et randomis\u00e9s sont n\u00e9cessaires pour produire des r\u00e9sultats plus fiables et plus pr\u00e9cis.Le tendon calcan\u00e9en sert souvent de mod\u00e8le pour l\u2019\u00e9tude du PRP puisque superficiel et facile d\u2019acc\u00e8s.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/looketmedecine.fr\/en\/plasma-riche-en-plaquettes-et-tendinopathie-calcaneenne-marine-delcrosmd\/\" \/>\n<meta property=\"og:site_name\" content=\"Revue fran\u00e7aise N\u00b01 pour la recherche en sant\u00e9 esth\u00e9tique\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/looketmedecine.magazine\/\" \/>\n<meta property=\"article:published_time\" content=\"2024-05-26T17:04:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-10-05T21:39:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/looketmedecine.fr\/wp-content\/uploads\/2024\/05\/Capture-decran-2024-05-26-a-19.01.33-e1716743312322.png\" \/>\n\t<meta property=\"og:image:width\" content=\"748\" \/>\n\t<meta property=\"og:image:height\" content=\"964\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Albert-Claude Benhamou\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Albert-Claude Benhamou\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/looketmedecine.fr\\\/en\\\/plasma-riche-en-plaquettes-et-tendinopathie-calcaneenne-marine-delcrosmd\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/looketmedecine.fr\\\/en\\\/plasma-riche-en-plaquettes-et-tendinopathie-calcaneenne-marine-delcrosmd\\\/\"},\"author\":{\"name\":\"Albert-Claude Benhamou\",\"@id\":\"https:\\\/\\\/looketmedecine.fr\\\/#\\\/schema\\\/person\\\/d674c704426e829b385c4dd691b8e3cc\"},\"headline\":\"LM N\u00b01\\\/ 2024. 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