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Related Experiment Videos

Tendon rupture after local steroid injection.

L T Ford, J DeBender

    Southern Medical Journal
    |July 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Depository steroid injections, commonly triamcinolone hexacetonide, can lead to tendon ruptures. Surgical intervention is often necessary for these steroid-induced tendon injuries.

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    Area of Science:

    • Orthopedic Surgery
    • Sports Medicine
    • Rheumatology

    Background:

    • Corticosteroid injections are frequently used for localized inflammation.
    • Depot steroids provide sustained release, but potential complications require investigation.

    Observation:

    • A case series of 13 patients experiencing 15 tendon ruptures following corticosteroid injections.
    • Ruptures occurred in Achilles, supraspinatus, biceps (long head), and anterior tibial tendons.
    • Triamcinolone hexacetonide was the most common steroid used, often mixed with local anesthetics.

    Findings:

    • Tendon ruptures are a significant complication of depository steroid injections.
    • Eight of the 13 patients required surgical repair for their ruptured tendons.
    • Older patients with biceps tendon ruptures were less likely to undergo surgery.

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    Implications:

    • Clinicians should carefully consider the risks of tendon rupture when prescribing depository steroid injections.
    • Developing preventative strategies for steroid-induced tendon injuries is crucial.
    • Further research is needed to elucidate the mechanisms and optimize treatment for this complication.