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Orthobiologics Injection Therapies in the Treatment of Muscle and Tendon Disorders in Athletes: Fact or Fake?

Vascellari, Alberto; Demeco, Andrea; Vittadini, Filippo; Gnasso, Rossana; Tarantino, Domiziano; Belviso, Immacolata; Corsini, Alessandro; Frizziero, Antonio; Buttinoni, Leopoldo; Marchini, Andrea; Vecchiato, Marco; Zappia, Marcello; Oliva, Francesco; Maffulli, Nicola; Sirico, Felice; Palermi, Stefano

Authors

Alberto Vascellari

Andrea Demeco

Filippo Vittadini

Rossana Gnasso

Domiziano Tarantino

Immacolata Belviso

Alessandro Corsini

Antonio Frizziero

Leopoldo Buttinoni

Andrea Marchini

Marco Vecchiato

Marcello Zappia

Francesco Oliva

Nicola Maffulli

Felice Sirico

Stefano Palermi



Abstract

Muscle and tendon injuries encompass a wide range of conditions, including both acute and chronic ailments, and are common among athletes, representing a significant cause of injuries in various sports. Frequently affected areas include the hamstrings, quadriceps, gastrocnemius, and hip flexors. Concurrently, tendinopathy presents a complex clinical challenge, affecting a majority of athletes due to high load demands and repetitive movements, with its incidence in sports practice increasing over the last decades to account for up to 30% of all injuries. The substantial costs, both in terms of time away from competition and financial loss, have spurred growing scientific interest in therapies that can enhance the healing process of these injuries. In this context, innovative orthobiologic approaches, particularly platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs), have been explored for their potential to facilitate the return-to-play phase and reduce the risk of reinjury by modulating inflammation and promoting tissue regeneration. This narrative review aims to summarize the current evidence regarding the role of orthobiologics in the management of sports-related muscle and tendon injuries.

Citation

Vascellari, A., Demeco, A., Vittadini, F., Gnasso, R., Tarantino, D., Belviso, I., …Palermi, S. (in press). Orthobiologics Injection Therapies in the Treatment of Muscle and Tendon Disorders in Athletes: Fact or Fake?. M.L.T.J. Muscles, Ligaments and Tendons Journal, 14(02), 239-246. https://doi.org/10.32098/mltj.02.2024.02

Journal Article Type Article
Acceptance Date Jun 1, 2024
Deposit Date Aug 21, 2024
Journal Muscle Ligaments and Tendons Journal
Print ISSN 2240-4554
Peer Reviewed Peer Reviewed
Volume 14
Issue 02
Pages 239-246
DOI https://doi.org/10.32098/mltj.02.2024.02
Keywords athletes, mesenchymal stem cell, muscle injuries, Orthobiologics, PRP, sport medicine, tendinopathy
Public URL https://keele-repository.worktribe.com/output/886604