|
KMID : 1130920130170040309
|
|
Journal of Korean Foot and Ankle Society
2013 Volume.17 No. 4 p.309 ~ p.315
|
|
|
Rupture of Achilles Tendon after Steroid Injection in Achilles Tendinitis (A Report of Five Cases)
|
|
Kim Jeon-Gyo
Gwak Heui-Chul
Baik Jong-Min
|
|
|
Abstract
|
|
|
Purpose: The purpose of the study was to investigate five cases with chronic Achilles tendon rupture that occurred aftersteroid injections.
Materials and Methods: In our hospital, we experienced five cases of chronic Achilles tendon rupture from September2010 to March 2012. All patients had got steroid injection for Achilles tendinitis at the other hospitals, and their heel pain wasaggravated when they visited our outpatient department. After treatment, signs and symptoms of Achilles tendon rupture weredeveloped and the diagnosis was confirmed by ultrasonography or magnetic resonance imaging (MRI). Surgical treatment wasdone for Achilles tendon rupture.
Results: There was difference between intra-operative findings of Achilles tendon rupture and usual chronic Achilles tendonrupture. Unlike usual findings of chronic Achilles tendon rupture whose scar tissue or tissue attenuation are found around thedefect area of Achilles tendon, there were partial necrosis of tendon severe adhesion with surrounding tissue, extensive defectand longitudinal rupture on ruptured area. Also, severe inflammation of paratenon, granulation and fibrinoid deposit werefound on biopsy findings in four cases.
Conclusion: Based on review of data about relative risk and benefit of local corticosteroid injection to inflammatory lesionin Achilles tendon, it requires more attention to Achilles tendon rupture following local corticosteroid injection.
|
|
|
KEYWORD
|
|
|
Achilles tendinitis, Achilles tendon rupture, Steroid injection
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|