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。
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