Hazards of steroid injection: Suppurative extensor tendon rupture

Woon, Colin Yi-Loong; Phoon, Ee San; Lee, Jonathan Yi-Liang; Ng, Siew Weng; Teoh, Lam-Chuan

doi:10.4103/0970-0358.63971

Cited by 11 publications

(1 citation statement)

References 6 publications

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“…12 Corticosteroid injections into tendons of the lower extremities can also lead to rupture of the tendon. 21 Dean et al 7 recently proposed that glucocorticoids' deleterious effects in tendinopathy may be related to ion channel-mediated toxicity.…”

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confidence: 99%

Imaging of Tendinopathy: A Physician's Perspective

Bley¹,

Abid²

2015

J Orthop Sports Phys Ther

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Imaging plays an important role in the clinical evaluation of patients with musculoskeletal-related pain, but its utility for the management of tendinopathy is debatable. Findings on ultrasound and magnetic resonance imaging may not correlate with clinical symptoms, and it is not uncommon to find anatomical changes associated with tendinopathy in tendons of asymptomatic individuals. Likewise, patients with clinical symptoms of tendinopathy can present with normal imaging evaluation. The use of diagnostic and interventional ultrasound has significantly increased over the past decade in a bid for better treatments of tendinopathy. Despite the limitations of traditional imaging in the diagnosis and management of tendinopathy, interventional procedures that utilize ultrasound hold promise. J Orthop Sports Phys Ther 2015;45(11):826-828. doi:10.2519/jospt.2015.0113.

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confidence: 99%

Imaging of Tendinopathy: A Physician's Perspective

Bley¹,

Abid²

2015

J Orthop Sports Phys Ther

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Post-traumatic Arthritis of the Hand

Harris

Kim

Got

2020

Post-Traumatic Arthritis

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Changing patterns of septic tenosynovitis of the distal extremities

2014

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The medical literature reports that human pyogenic tenosynovitis occurs almost exclusively in flexor tendons of distal extremities with only rare case reports in extensor compartments. We report a series of patients with septic extensor compartment tenosynovitis of the extremity. Twenty cases of septic tenosynovitis tendons of the wrist, hands, feet, and ankles were presented to our emergency department over a 4.17-year period, 15 men (one, twice over a 2.5-year span) and 4 women with an average age of 39 years. Diagnosis was made using CT (n = 6), MRI (n = 14), and in one case ultrasound (US). All cases were confirmed surgically. During the data collection period, no case of flexor septic tenosynovitis were presented. All patients were intravenous drug users. All imaging modalities showed fluid within the infected tendon sheaths and evidence of enhancement after contrast administration where contrast was administered. The single US showed hypervascularity on Doppler imaging. All wrist and hand infections (n = 15) occurred in the non-dominant hand, and all cases involved the fourth and next most commonly (n = 9 each) in the second and third extensor compartments. In the ankle and foot (n = 5), the extensor digitorum longus tendon was most commonly infected. Twelve patients (60 %) had soft tissue abscesses adjacent to infected tendon sheaths. The most common organism cultured from the tendon sheaths was Staphylococcus aureus, methicillin sensitive and resistant and often admixed with other flora. Common use of intravenous drugs now makes extensor septic tenosynovitis an important clinical diagnosis and likely now more common than flexor septic tenosynovitis.

show abstract

Hazards of steroid injection: Suppurative extensor tendon rupture

Cited by 11 publications

References 6 publications

Imaging of Tendinopathy: A Physician's Perspective

Imaging of Tendinopathy: A Physician's Perspective

Post-traumatic Arthritis of the Hand

Changing patterns of septic tenosynovitis of the distal extremities

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