Table 1.
Study | Intervention | Control | +/− VAS Pain |
+/− Function eg VISA-A/P |
---|---|---|---|---|
Achilles tendinopathy | ||||
Chan 2008 [68] |
N = 30 10ml 0.5% Bupivacaine 25mg Hydrocortisone 40ml N Saline |
No control |
N = 21 @4w -51mm |
N = 21 @4w VISA-A +31.4 |
Humphrey 2010 [69] |
N = 11 10ml 0.5% Bupivacaine 25mg Hydrocortisone 40ml N Saline |
No Control | @3w VISA-A +38 (P < 0.001) NeoVasc reduced 3 to 1.1 Tendon diam 8.7 to 7.6mm |
|
Restighini 2012 [70] |
N = 32 5ml 1% Lidocaine 25mg Hydrocortisone Up to 40ml N Saline |
No Control | @4w -34mm @3m -37mm |
@4w VISA-A +26.5 @3m VISA-A +28.7 NeoVasc reduced 2 to 0.2 |
Maffuli 2013 [71] |
N = 94 10ml 0.5% Bupivacaine 25mg Aprotinin up to 40mls N saline |
No Control | @12m VISA-A +32.9 (P = 0.003) |
|
Wheeler 2014 [72] |
N = 16 10ml 1% Lidocaine 40ml Saline |
No Control | @347d −6.1/10 (P = 0.001) | @347d VISA-A + 41 (P = 0.001) |
Wheeler 2016 [73] |
N = 34 10ml 1% Lidocaine + 40ml Saline V 10ml 1% Lidocaine + 20ml Saline |
No Control | @281d −4.6/10 (P < 0.01) 50ml Group | @281v271d VISA-A +33.4 and + 6.94 in 50ml and 30ml group respectively (P = 0.002) |
Patellar tendinopathy | ||||
Crisp 2008 [74] |
N = 9 10ml 0.5% Bupivacaine 25mg Hydrocortisone 40ml N Saline |
No control | @2w Sig. improve. |
@9m VISA-P +22 |
Morton 2014 [22] |
N = 20 10 ml 0.5% Bupivacaine 25mg hydrocortisone 30ml N saline |
No Control | @12w–9m VISA-P +19 (P < 0.01) |
|
Maffuli 2016 [75] |
N = 44 10ml 0.5% Bupivacaine 62500 IU Aprotinin 40ml N saline |
No Control | @15m -63mm (P = 0.01) |
@15m VISA-P +29.3 (P = 0.003) |
VISA-A Victoria Institute of Sport Assessment-Achilles, VISA-P Victoria Institute of Sport Assessment-Patella, VAS Visual Analogue Scale, NeoVasc Grade of Neovasculatity, IU International Units, m months, w weeks, d days