{"title":"局部注射类固醇治疗手部狭窄性腱滑膜炎后肌腱断裂3例报告及文献复习","authors":"Yusuke Inomori , Haruhiko Shimura , Yoshiaki Wakabayashi , Koji Fujita , Akimoto Nimura","doi":"10.1016/j.joscr.2023.02.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Local steroid injection is a common treatment for stenosing tenosynovitis. We experienced three cases of tendon rupture after steroid injections and reviewed previous reports describing similar cases.</p></div><div><h3>Case presentation</h3><p>In one case, a 43-year-old female with De Quervain disease received injections of 20 mg of triamcinolone acetonide and/or 1.65 mg of dexamethasone and the extensor pollicis brevis and abductor pollicis longus tendon ruptured. In another case, a 60-year-old female with trigger thumb received injections of 10 mg of methylprednisolone and flexor pollicis longus tendon rupture occurred. In the third case, a 56-year-old female with trigger thumb received injections of 20 mg of triamcinolone acetonide and flexor pollicis longus tendon rupture occurred.</p></div><div><h3>Conclusion</h3><p>In previous reports and our cases of tendon rupture associated with stenosing tenosynovitis, triamcinolone acetonide was used at a dose of 10 mg or more. Orthopedists should be careful when selecting the dosage of injected steroids.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 2","pages":"Pages 19-22"},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Tendon rupture after local steroid injection for stenosing tenosynovitis of hand: A report of three cases and literature review\",\"authors\":\"Yusuke Inomori , Haruhiko Shimura , Yoshiaki Wakabayashi , Koji Fujita , Akimoto Nimura\",\"doi\":\"10.1016/j.joscr.2023.02.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Local steroid injection is a common treatment for stenosing tenosynovitis. We experienced three cases of tendon rupture after steroid injections and reviewed previous reports describing similar cases.</p></div><div><h3>Case presentation</h3><p>In one case, a 43-year-old female with De Quervain disease received injections of 20 mg of triamcinolone acetonide and/or 1.65 mg of dexamethasone and the extensor pollicis brevis and abductor pollicis longus tendon ruptured. In another case, a 60-year-old female with trigger thumb received injections of 10 mg of methylprednisolone and flexor pollicis longus tendon rupture occurred. In the third case, a 56-year-old female with trigger thumb received injections of 20 mg of triamcinolone acetonide and flexor pollicis longus tendon rupture occurred.</p></div><div><h3>Conclusion</h3><p>In previous reports and our cases of tendon rupture associated with stenosing tenosynovitis, triamcinolone acetonide was used at a dose of 10 mg or more. Orthopedists should be careful when selecting the dosage of injected steroids.</p></div>\",\"PeriodicalId\":100743,\"journal\":{\"name\":\"JOS Case Reports\",\"volume\":\"2 2\",\"pages\":\"Pages 19-22\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JOS Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772964823000035\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOS Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772964823000035","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Tendon rupture after local steroid injection for stenosing tenosynovitis of hand: A report of three cases and literature review
Background
Local steroid injection is a common treatment for stenosing tenosynovitis. We experienced three cases of tendon rupture after steroid injections and reviewed previous reports describing similar cases.
Case presentation
In one case, a 43-year-old female with De Quervain disease received injections of 20 mg of triamcinolone acetonide and/or 1.65 mg of dexamethasone and the extensor pollicis brevis and abductor pollicis longus tendon ruptured. In another case, a 60-year-old female with trigger thumb received injections of 10 mg of methylprednisolone and flexor pollicis longus tendon rupture occurred. In the third case, a 56-year-old female with trigger thumb received injections of 20 mg of triamcinolone acetonide and flexor pollicis longus tendon rupture occurred.
Conclusion
In previous reports and our cases of tendon rupture associated with stenosing tenosynovitis, triamcinolone acetonide was used at a dose of 10 mg or more. Orthopedists should be careful when selecting the dosage of injected steroids.
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