국소 스테로이드 반복 주사후 발생한 자발적 아킬레스건 파열 -증례 보고-

Spontaneous Achilles Tendon Rupture After Repeated Local Steroid Injention - A Case Report -

  • 정형진 (인제대학교 의과대학 상계백병원 정형외과) ;
  • 최정윤 (인제대학교 의과대학 상계백병원 정형외과)
  • Chung, Hyung-Jin (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University) ;
  • Choi, Jung-Yun (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University)
  • 발행 : 2004.12.01

초록

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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