Prophylactic muscle injection treatment for fatty degeneration in rotator cuff injury: A systematic review of animal studies

Author:

Nihei Kota1,Murata Kenji1ORCID,Sone Kenta2,Nagata Shiori2,Kawabata Sora3,Kojima Takuma3,Takasu Chiharu3,Terada Hidenobu3

Affiliation:

1. 1 Department of Physical Therapy, School of Health and Social Services, Saitama Prefectural University

2. Department of Physical Therapy, School of Health and Social Services, Saitama Prefectural University

3. Department of Health and Social Services, Health and Social Services, Graduate School of Saitama Prefectural University

Abstract

Abstract Introduction: Fatty degeneration is the most important factor affecting massive rotator cuff tear (RCT) function. However, the mechanism underlying fatty degeneration and treatment after massive rotator cuff injury remains to be elucidated. This study sought to systematically scoping review published animal studies to explore effective treatment options for fatty degeneration following human rotator cuff injury, focusing on fibro-adipogenic progenitor (FAP). Materials and methods: MEDLINE, PubMed, and Embase were systematically searched for articles published in June 2022, using relevant keywords. Animal species, injury and repair types, study duration, and fatty degeneration parameters were summarized. Results: Of the 120 studies, 51 were secondarily evaluated for cell treatment of fatty degeneration in rotator cuff injury. Finally, 6 studies examining the effects of FAP on fatty degeneration were selected for analysis. Six studies showed positive effects on the SS muscle following fibro/adipogenic progenitor (FAP) (n = 3) or pluripotent stem cell (n = 3) injections. Conclusion: Following the review, we concluded the following: 1) FAP cell injections effectively inhibit fatty degeneration after rotator cuff injury. Level of evidence: Level IV, review article.

Publisher

Research Square Platform LLC

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