Ligamentum Patellae Rupture Following Local Steroid Injection

Alexeeff, M

doi:10.1111/j.1445-2197.1986.tb02372.x

Cited by 13 publications

(5 citation statements)

References 16 publications

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“…Many investigators have reported case examples of tendon ruptures, especially among athletes, from injections of corticosteroid (7,8,87,(94)(95)(96)(97)(98)(99)(100). The question remains whether these ruptures are the effect of steroids or merely a final manifestation of the disease for which the steroids were applied.…”

Section: Discussionmentioning

confidence: 99%

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Local corticosteroid injection in sport: review of literature and guidelines for treatment

Fredberg

1997

Scandinavian Med Sci Sports

116

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The risks and benefits of local injection therapy of overuse sports injuries with cortisteroids are reviewed here. Injection of corticosteroid inside the tendon has a deleterious effect on the tendon tissue and should be unanimously condemned. No reliable proof exists of the deleterious effects of peritendinous injections. Too many conclusions in the literature are based on poor scientific evidence and it is just the reiteration of a dogma if all steroid injections are abandoned. The corticosteroids represent an adjuvant treatment in the overall management of sports injuries: basic treatment is ‘active’ rest and graduated rehabilitation within the limits of pain. With proper indications there are only few and trivial complications that may occur with corticosteroid injections. Guidelines for proper local injection therapy with corticosteroids are given.

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Section: Discussionmentioning

confidence: 99%

“…Alexeeff (96) reported a case of rupture of the patella tendon in a young athlete with symptoms of Jumper's knee in 1 year. He had two corticosteroid injections that settled the symptoms and he resumed his normal training activities.…”

Section: Discussionmentioning

confidence: 99%

Local corticosteroid injection in sport: review of literature and guidelines for treatment

Fredberg

1997

Scandinavian Med Sci Sports

116

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“…Many investigators have reported examples of tendon ruptures (included patellar tendons), especially among athletes, from injections of corticosteroids (77)(78)(79)(80)(81)(82)(83). The question remains whether these ruptures were the effect of steroids or merely a manifestation of the disease for which the steroids were used.…”

Section: Diagnosismentioning

confidence: 99%

Jumper's knee

Fredberg

Bolvig

1999

Scandinavian Med Sci Sports

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Jumper's knee is an overuse disease. The initial subjective complaints are well‐localized pain, usually occurring after physical activities and often at the lower pole of the patella. The diagnosis of jumper's knee is usually easily established after acquiring a detailed history and a carefully performed physical examination, but the lesion can be mistaken for other disorders or injuries, such as bursitis, meniscal injuries or chondromalacia (1) or other causes of the patellofemoral pain syndrome. Today ultrasonography is the method of choice for the evaluation of jumper's knee as it is both time and cost saving, non‐invasive, repeatable, accurate and allows a dynamic image of the tendon, guided injections and control of treatment. Conservative therapy is the treatment of choice in the early stages and includes adequate warm‐up, stretching of the quadriceps muscle and physical activity with respect to the pain, and ice pack application after activity. When the pain disappears, the training intensity can be increased. NSAID (Non‐Steroidal Anti‐Inflammatory Drugs) and local peritendinous injections with long‐acting steroids can be a helpful and safe adjuvant to the conservative treatment and should be tried before surgery. Surgical treatment is indicated only if a prolonged and well‐supervised conservative treatment program fails in chronic jumper's knee (including local injection with steroid) or in acute total rupture. Review papers concerning jumper's knee are already published (2–5), but in this review the importance of ultrasonography to make the diagnosis, to plan therapy and control the treatment and the safety of peritendinous injection with steroid is pointed out. The scientific documentation for the recommanded treatment (conservative, steroid injection and operation) is, however, insufficient. Many more controlled studies are needed. Ultrasonography and placebo‐controlled, double–blinded, cross‐over studies for treatment with local injection of steroid are ongoing (6, 7).

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“…They are often associated with trauma. However, there are reports relating to local injection of steroids and a large number of systemic diseases such as systemic lupus erythematosus, diabetes mellitus, rheumatoid arthritis, osteomalacia and chronic kidney failure 4, 5, 6, 7, 8, 9, 10…”

Section: Introductionmentioning

confidence: 99%