{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T11:35:10Z","timestamp":1788262510716,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,4,19]],"date-time":"2017-04-19T00:00:00Z","timestamp":1492560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,4,19]],"date-time":"2017-04-19T00:00:00Z","timestamp":1492560000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,4,19]],"date-time":"2017-04-19T00:00:00Z","timestamp":1492560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this prospective, randomized study was to compare the efficacy of autologous platelet\u2010rich\u00a0plasma (PRP) injections and arthroscopic lateral release in treating chronic lateral epicondylitis (LE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who had a clinical diagnosis of LE confirmed by ultrasound (US) were included in this study. A total of 101 patients received arthroscopic release (n\u00a0= 50) or US\u2010guided PRP injections (n\u00a0= 51). Outcomes were assessed using a visual analog scale for pain, the Patient\u2010Rated Tennis Elbow Evaluation (PRTEE), and a calibrated hand dynamometer for grip strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both patient groups experienced significant improvement in all measures. Between\u2010group comparisons showed a significantly higher value in the PRP group only for grip strength at week 8 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0073); all other significant differences were in favor of arthroscopy: overall pain (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0021), night pain (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0013), and PRTEE score (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.0013) at week 104 and grip strength at weeks 24, 52, and 104 (all\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). Consumption of rescue pain medication was not significantly different between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The present findings suggest that (1) PRP injections and arthroscopic extensor carpi radialis brevis release are both effective in the short and medium term; (2) PRP patients experienced a significant worsening of pain at 2\u00a0years; (3) arthroscopic release ensured better long\u2010term outcomes in terms of pain relief and grip strength recovery; and (4) both procedures were safe and well accepted by patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level\u00a0of Evidence<\/jats:title>\n                    <jats:p>Level II, prospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2017.02.009","type":"journal-article","created":{"date-parts":[[2017,4,19]],"date-time":"2017-04-19T14:15:44Z","timestamp":1492611344000},"page":"1320-1329","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":58,"title":["Arthroscopic Debridement Versus Platelet\u2010Rich Plasma Injection: A Prospective, Randomized, Comparative Study of Chronic Lateral Epicondylitis With a Nearly 2\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"33","author":[{"given":"Giovanni","family":"Merolla","sequence":"first","affiliation":[{"name":"Shoulder and Elbow Unit \u201cD. 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