因反复局部注射类固醇导致双侧髌腱断裂。
Bilateral patellar tendon rupture secondary to repeated local steroid injections.
作者信息
Clark S C, Jones M W, Choudhury R R, Smith E
机构信息
Department of Orthopaedic Surgery, Leicester Royal Infirmary, UK.
出版信息
J Accid Emerg Med. 1995 Dec;12(4):300-1. doi: 10.1136/emj.12.4.300.
Abstract
A case is reported of bilateral patellar tendon rupture in a fit man after a fall. He had a history of repeated local steroid injections into both tendons and histology confirmed steroid-induced changes. The history of repeated local steroid administration has to be implicated as the cause of this extremely rare injury in this patient, which can also be associated with hyperparathyroidism, systemic lupus erythematosus, diabetes and rheumatoid arthritis. All doctors performing repeated local steroid injections into the patellar tendon should be aware of the possible dangers of inducing tendon rupture and should ensure that the steroids are not delivered into its substance.
摘要
报告一例健康男性跌倒后双侧髌腱断裂的病例。他有双侧腱反复局部注射类固醇激素的病史，组织学检查证实存在类固醇激素引起的改变。反复局部注射类固醇激素的病史必定是该患者这一极其罕见损伤的病因，这种损伤也可能与甲状旁腺功能亢进、系统性红斑狼疮、糖尿病和类风湿性关节炎有关。所有对髌腱反复进行局部注射类固醇激素的医生都应意识到诱发腱断裂的潜在危险，并应确保类固醇激素不注入腱实质内。
相似文献
1
Bilateral patellar tendon rupture secondary to repeated local steroid injections.
J Accid Emerg Med. 1995 Dec;12(4):300-1. doi: 10.1136/emj.12.4.300.
2
Simultaneous bilateral patellar tendon rupture without predisposing systemic disease or steroid use: a case report.
Chin J Traumatol. 2012;15(1):54-8.
3
[Atraumatic bilateral patellar tendon rupture in a patient receiving steroid therapy].
Acta Orthop Traumatol Turc. 2006;40(5):411-6.
4
Bilateral patellar tendon rupture without predisposing systemic disease or steroid use: a case report and review of the literature.
Arch Orthop Trauma Surg. 2005 Mar;125(2):127-33. doi: 10.1007/s00402-004-0782-2. Epub 2005 Jan 12.
5
Bilateral patellar tendon ruptures without predisposing systemic disease or steroid use: a case report and review of the literature.
Am J Emerg Med. 2012 Jan;30(1):261.e3-5. doi: 10.1016/j.ajem.2010.11.011. Epub 2010 Dec 24.
6
Bilateral patellar tendon rupture on lupus undergoing corticosteroids: a case report.
BMC Musculoskelet Disord. 2020 Jul 21;21(1):477. doi: 10.1186/s12891-020-03513-w.
7
Patellar tendon rupture with underlying systemic disease.
AJR Am J Roentgenol. 1980 Oct;135(4):803-7. doi: 10.2214/ajr.135.4.803.
8
Chronic alcohol consumption as a predisposing factor for multiple tendon ruptures in unusual sites in a patient with rheumatoid arthritis.
Clin Exp Rheumatol. 2007 May-Jun;25(3):461-3.
9
[Rupture of the patellar ligament one month after treatment with fluoroquinolone].
Rev Chir Orthop Reparatrice Appar Mot. 2000 Sep;86(5):495-7.
10
Spontaneous disruption of the bilateral knee extensor mechanism: a report of two cases.
J Orthop Surg (Hong Kong). 2015 Aug;23(2):262-6. doi: 10.1177/230949901502300233.
引用本文的文献
1
Atraumatic Bilateral Patellar Tendon Rupture: A Case Report.
J Orthop Case Rep. 2025 Mar;15(3):115-120. doi: 10.13107/jocr.2025.v15.i03.5354.
2
Spontaneous Bilateral Patellar Tendon Rupture in Patient with Ehlers-Danlos Syndrome: A Case Report.
J Orthop Case Rep. 2024 Oct;14(10):124-129. doi: 10.13107/jocr.2024.v14.i10.4834.
3
Gouty destruction of a patellar tendon reconstruction and novel revision reconstruction technique: A case report.
World J Orthop. 2024 Jul 18;15(7):675-682. doi: 10.5312/wjo.v15.i7.675.
4
Simultaneous Bilateral Patellar Tendon Rupture: A Systematic Review.
Cureus. 2023 Jul 7;15(7):e41512. doi: 10.7759/cureus.41512. eCollection 2023 Jul.
5
Osgood-Schlatter Disease: Appearance, Diagnosis and Treatment: A Narrative Review.
Healthcare (Basel). 2022 May 30;10(6):1011. doi: 10.3390/healthcare10061011.
6
Simultaneous Bilateral Patellar Tendon Rupture in a Young Adult Male: A Case Report and Review of the Literature.
Cureus. 2020 Sep 25;12(9):e10649. doi: 10.7759/cureus.10649.
7
Simultaneous Bilateral Rupture of the Patellar Tendon and Medial Collateral Ligament: A Case Report and Literature Review.
Case Rep Orthop. 2020 Oct 13;2020:8862600. doi: 10.1155/2020/8862600. eCollection 2020.
8
Bilateral patellar tendon rupture on lupus undergoing corticosteroids: a case report.
BMC Musculoskelet Disord. 2020 Jul 21;21(1):477. doi: 10.1186/s12891-020-03513-w.
9
Does glucocorticoid exposure explain the association between metabolic dysfunction and tendinopathy?
Endocr Connect. 2020 Mar;9(3):R36-R46. doi: 10.1530/EC-19-0555.
10
Simultaneous Bilateral Rupture of Patellar Tendons in a Young Man Without Predisposing Factors or Systemic Disease.
Cureus. 2019 Aug 23;11(8):e5469. doi: 10.7759/cureus.5469.
本文引用的文献
1
An experimental study of the effect of cortisone on the healing process and tensile strength of tendons.
J Bone Joint Surg Am. 1954 Jun;36-A(3):588-601.
2
Bilateral rupture of the ligamentum patellae: two case reports and a review of the literature.
Aust N Z J Surg. 1982 Apr;52(2):145-8. doi: 10.1111/j.1445-2197.1982.tb06089.x.
3
Rupture of patellar ligament after steroid infiltration. Report of a case.
J Bone Joint Surg Br. 1969 Aug;51(3):503-5.
4
Avulsion of both quadriceps tendons in hyperparathyroidism.
JAMA. 1972 Jul 24;221(4):406-7.
5
Bilateral rupture of the patellar ligaments in systemic lupus erythematosus.
Lancet. 1969 Oct 4;2(7623):743. doi: 10.1016/s0140-6736(69)90451-6.
6
Spontaneous bilateral rupture of the quadriceps mechanism in chronic renal failure.
J R Coll Surg Edinb. 1992 Oct;37(5):343-4.
Zotero 插件