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KMID : 0359420080260020224
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Korean Journal of Sports Medicine
2008 Volume.26 No. 2 p.224 ~ p.226
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Spontaneous Bilateral Achilles Tendon Ruptures After Local Steroid Injection - A Case Report -
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Shin Sung-Jin
Seo Kyu-Bum
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Abstract
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Spontaneous bilateral Achilles tendon ruptures are a rare occurrence that usually occur in patients with chronic systemic disease. Many cases are also associated with corticosteroid or fluoroquinolone use. We present a case of a 66-year-old woman who had bilateral Achilles tendon ruptures after local steroid injection. Intraoperatively, degenerative changes at both sides of rupture end and large defect were seen. We reconstructed the Achilles tendon using V-Y plasty and reinforced the repair site using the flexor hallucis longus tendon for both sides. The patient showed favorable result three years postoperatively with return to range in a degree of activity levels.
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KEYWORD
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Achilles tendon, Spontaneous bilateral rupture, Local steroid injection
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