J Korean Foot Ankle Soc.
2004 Dec;8(2):218-220.
Spontaneous Achilles Tendon Rupture After Repeated Local Steroid Injention: A Case Report
- Affiliations
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- 1Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University, Seoul, Korea. chunghj@dreamwiz.com
Abstract
- It is known that steroids increase the risk for tendon ruptures. Despite this local steroids are still used in the treatment of achilles tendinitis. 46-year-old women had occurred achilles tendon rupture after repeated local steroid injection. Intraoperatively, necrotic change were seen at both side of ruptured end. Like this, tendon rupture after repeated steroid injection often result in a large defect, which needed surgical repair. After debridement of ruptured end, tenorrhaphy with single Krackow method and plantaris tendon augmentation was done. The patient showed favorable result with return to range in a degree of activity levels.
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