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Tendon ruptures associated with corticosteroid therapy

A A Halpern, B G Horowitz, D A Nagel

    The Western Journal of Medicine
    |November 1, 1977
    PubMed
    Summary
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    Corticosteroid therapy may increase the risk of tendon ruptures, not just tendinitis. Early immobilization is recommended for suspected tendon injuries to prevent further damage.

    Area of Science:

    • Orthopedics
    • Rheumatology
    • Sports Medicine

    Background:

    • Corticosteroids are commonly used to treat inflammatory conditions affecting tendons.
    • Tendinitis is a frequent diagnosis for chronic tendon pain.
    • The association between corticosteroids and tendon rupture requires further investigation.

    Observation:

    • Five patients experienced tendon ruptures during corticosteroid therapy (systemic or local).
    • Chronic tendon pain in these patients suggests potential early or partial ruptures.
    • The Achilles tendon was involved in some cases.

    Findings:

    • Corticosteroid use is linked to an increased risk of tendon rupture.
    • Chronic tendinitis symptoms may indicate underlying tendon micro-ruptures.

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  • Local corticosteroid injections carry a risk of tendon rupture.

    • Implications:

    • Patients receiving corticosteroid therapy should be informed about the risk of tendon rupture.
    • Initial immobilization is advised for suspected tendinitis or early tendon ruptures, especially for the Achilles tendon.
    • This highlights the need for careful patient selection and monitoring during corticosteroid treatment for tendon-related issues.