Can local corticosteroid injection in the retrocalcaneal bursa lead to rupture of the Achilles tendon and the medial head of the gastrocnemius muscle?

被引：17

作者：

Turmo-Garuz A. ^{[1
,4
]}

Rodas G. ^{[2
]}

Balius R. ^{[3
]}

Til L. ^{[1
,2
]}

Miguel-Perez M. ^{[5
]}

Pedret C. ^{[5
]}

Del Buono A. ^{[6
]}

Maffulli N. ^{[7
]}

机构：

[1] High Performance Center (CAR de Sant Cugat Consorci Sanitari de Terrassa), Barcelona

[2] Medical Service, Barcelona Football Club, Barcelona

[3] Consell Català de l'Esport, Barcelona

[4] Department of Professional Sports Medicine, School of Medicine, University of Barcelona, Barcelona

[5] Department of Experimental Pathology and Therapeutics, Bellvitge Campus, University of Barcelona, Barcelona

[6] Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Rome, Via Alvaro del Portillo

[7] Centre for Sports and Exercise Medicine, Barts and the London School of Medicine and Dentistry, Mile End Hospital, London E1 4DG

来源：

MUSCULOSKELETAL SURGERY | 2014年 / 98卷 / 2期

关键词：

Achilles tendon; Anatomic connection; Cadaver; Gastrosoleus complex; MRI; Steroid;

D O I：

10.1007/s12306-013-0305-9

中图分类号：

学科分类号：

摘要：

Purpose: The purpose of the study is to explain the cause-effect relationship in three patients who reported combined ruptures of the Achilles tendon and the gastrosoleus complex 6 months after they had received corticosteroids injections for the management of retrocalcaneal bursitis. Methods: Three cryopreserved cadavers (three men, three left legs) were examined to assess the anatomic connection between the retrocalcaneal bursa and the Achilles tendon (distal and anterior fibers). Blue triptan medium contrast was injected. Results: An unexpected connection between the retrocalcaneal bursa and the anterior fibers of the Achilles tendon was found in all instances. Conclusions: Local corticosteroid injection of the retrocalcaneal bursa may help the symptoms of retrocalcanear bursitis, but pose a risk of Achilles tendon rupture. This risk-benefit has to be taken into account when corticosteroid injections are prescribed to professional and high-level athletes. © 2013 Istituto Ortopedico Rizzoli.

引用

页码：121 / 126

页数：5

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