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Use of Platelet-Rich Plasma for the Improvement of Pain and Function in Rotator Cuff Tears: Response

cuff repair. In those with chronic tendinosis who are receiving PRP as an injection therapy, leukocyte-rich PRP may aggravate the inflammation and worsen symptoms, whereas this may not affect a surgical repair to the same extent. While we appreciate the authors’ work on this study, we believe the potentially confounded results from this study may cause further misunderstandings of the effects of PRP for rotator cuff tears. We would like to echo our previous calls for greater reporting on the cytology of PRP, as it is poorly reported on and thus limits our true understanding of the area; until then, it is still unclear what we are using.