J Korean Soc Surg Hand.  2015 Sep;20(3):142-147. 10.12790/jkssh.2015.20.3.142.

Risk of the Repeated Local Steroid Injection: Rupture of the Extensor Mechanism at Zone V

• Park JS
• Lee DY
• Hwang SC
• Nam DC

• KMID: 2068821
• DOI: http://doi.org/10.12790/jkssh.2015.20.3.142

Abstract

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.

Keyword

Tendons; Extensor; Hand; Steroids

MeSH Terms

Arthritis
Atrophy
Carpal Tunnel Syndrome
De Quervain Disease
Fingers
Hand
Joints
Metacarpophalangeal Joint
Rupture*
Skin
Steroids
Subcutaneous Fat
Tendon Transfer
Tendons
Steroids