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KMID : 0621520150200030142
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Journal of the Korean Society for Surgery of the Hand
2015 Volume.20 No. 3 p.142 ~ p.147
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Risk of the Repeated Local Steroid Injection: Rupture of the Extensor Mechanism at Zone V
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Park Jin-Sung
Lee Dong-Yeong
Hwang Sun-Chul
Nam Dae-Cheol
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Abstract
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Indicators for local steroid injection on the hands include trigger finger, De Quervain’s disease, carpal tunnel syndrome and trapeziometacarpal joint arthritis. Local steroid injection is an effective technique for rapid alleviation of symptoms and return to daily life. Complications following local steroid injection include depigmentation of the skin, subcutaneous fat atrophy, infection and tendon rupture. Tendon rupture and infection rarely occur as severe complications, and local steroid injection should not be abused or misused. The authors experienced a rupture of the extensor mechanism at extensor zone V after repeated local steroid injection to treat vague pain in the second metacarpophalangeal joint, followed by reconstruction of the extensor mechanism through tendon transfer and sagittal band reconstruction. We herein report a case with the literature review.
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KEYWORD
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Tendons, Extensor, Hand, Steroids
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