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Updated: Jun 8, 2026
05:18
Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
Published on: May 26, 2023
Hazards of steroid injection: Suppurative extensor tendon rupture
Colin Yi-Loong Woon1, Ee-San Phoon, Jonathan Yi-Liang Lee
1Department of Hand Surgery, Singapore General Hospital, Singapore.
Summary
Local steroid injections can cause rare infections like suppurative extensor tenosynovitis. Prompt management is crucial to prevent tendon rupture after bacterial superinfection.
Area of Science:
- Hand and Wrist Surgery
- Musculoskeletal Infections
- Steroid Injection Complications
Background:
- Local steroid injections are common treatments for various hand and wrist conditions.
- Sterile technique minimizes infectious complications, which are generally rare.
Observation:
- A case of suppurative extensor tenosynovitis developed after a local steroid injection for dorsal hand and wrist pain.
- The patient's symptoms progressed, suggesting bacterial superinfection.
Findings:
- The infection led to tendon rupture, highlighting a severe complication of local steroid injections.
- Bacterial superinfection can rapidly progress following corticosteroid administration.
Implications:
- This case underscores the importance of meticulous sterile technique during steroid injections.
- Early recognition and management of infectious tenosynovitis are vital to prevent tendon damage.
- Understanding the risks associated with local steroid injections is crucial for patient safety.
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