Halpern A A, Horowitz B G, Nagel D A
West J Med. 1977 Nov;127(5):378-82.
In five patients, tendon ruptures occurred in association with corticosteroid therapy, either systemic or local infiltration. The chronic nature of the pain in all of these patients suggests that what we often call tendinitis may in fact be early or partial ruptures of tendons. Patients who receive local infiltration of corticosteroids should perhaps be advised of the risk of a ruptured tendon. In addition, particularly when the Achilles tendon is involved, immobilization should be utilized initially for a presumed tendinitis or early rupture, to protect the tendon from further injury.
在5例患者中，肌腱断裂与全身或局部浸润性皮质类固醇治疗有关。所有这些患者疼痛的慢性性质表明，我们通常所说的肌腱炎实际上可能是肌腱的早期或部分断裂。接受皮质类固醇局部浸润治疗的患者或许应被告知肌腱断裂的风险。此外，特别是当跟腱受累时，对于假定的肌腱炎或早期断裂，最初应采用固定措施，以保护肌腱免受进一步损伤。
