Allogenic Umbilical Cord Tissue for Rotator Cuff Injuries.

IF 2.5 4区 医学 Q2 SPORT SCIENCES Sports Medicine and Arthroscopy Review Pub Date : 2023-09-01 Epub Date: 2023-11-17 DOI:10.1097/JSA.0000000000000369
Adarsh Aratikatla, Justin Sidhu, Nicola Maffulli, Manu Gupta, Anish G Potty, Ashim Gupta
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Abstract

Highly prone to injury, the rotator cuff greatly contributes to the stability and mobility of the shoulder. Clinicians prioritize conservative treatment, resorting to surgery only when necessary, although they are hindered by inherent limitations. Biological therapies, including perinatal tissue, such as umbilical cord (UC) tissue, hold promise for treating rotator cuff injuries (RCIs) in the field of regenerative medicine. This article qualitatively presents the in vitro, preclinical, clinical, and ongoing scientific literature exploring the application of UC tissue and associated mesenchymal stem cells in the context of RCIs. Employing the "Preferred Reporting Items for Systematic Reviews and Meta-analyses" guidelines, a systematic review was conducted. These studies have presented substantial evidence indicating that UC tissue and UC-derived mesenchymal stem cells are safe and potentially efficacious for managing RCIs, though more adequately powered randomized controlled trials are warranted to further establish efficacy and justify clinical use.

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同种异体脐带组织治疗肩袖损伤。
肩袖非常容易受伤,它对肩膀的稳定性和灵活性有很大的帮助。临床医生优先考虑保守治疗,只有在必要时才诉诸手术,尽管他们受到固有局限性的阻碍。生物疗法,包括围产期组织,如脐带(UC)组织,有望在再生医学领域治疗肩袖损伤(rci)。本文定性地介绍体外、临床前、临床和正在进行的科学文献,探讨UC组织和相关间充质干细胞在rci背景下的应用。采用“系统评价和荟萃分析的首选报告项目”指南,进行了系统评价。这些研究提供了大量证据,表明UC组织和UC来源的间充质干细胞对于治疗rci是安全且潜在有效的,尽管需要更充分的随机对照试验来进一步确定疗效并证明临床应用的必要性。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
50
审稿时长
>12 weeks
期刊介绍: Sports Medicine and Arthroscopy Review helps physicians digest the large volume of clinical literature in sports medicine and arthroscopy, identify the most important new developments, and apply new information effectively in clinical practice. Each issue is guest-edited by an acknowledged expert and focuses on a single topic or controversy. The Guest Editor invites the leading specialists on the topic to write review articles that highlight the most important advances. This unique format makes the journal more in-depth, authoritative, and practical than most publications in this field. The journal also includes dozens of full-color and black-and-white arthroscopic images and illustrations.
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