Metcalfe, David, Achten, Juul and Costa, Matthew L. (2008) Glucocorticoid injections in lesions of the achilles tendon - a systematic review. In: 2008 Annual Meeting of the British-Society-Rheumatology/Spring Meeting of British Health Professional in Rheumatology, Liverpool, England, Apr 22-25, 2008. Published in: Foot & Ankle International, Vol. 30 (No. 7). pp. 661-665.

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Abstract

Background: A number of non-operative interventions are used to manage Achilles tendinopathy. In particular, local gluco-corticoid injections have generated controversy. Although a number of case reports indicate symptomatic relief following glucocorticoid injection, one systematic review found little evidence to support their efficacy. Furthermore, local gluco-corticoid injections may be associated with rupture of the Achilles tendon. This systematic review considered all available clinical trials measuring the effect of local glucocorti-coid injections on symptom relief in patients with Achilles tendinopathy. Materials and Methods: The search strategy encompassed five databases: Medline, EMBASE, CINAHL, AMED and the Cochrane Library. Only studies reporting the outcome of glucocorticoid injection for Achilles tendinopathy were included. Results: A total of 72 articles were identified, five of which met the inclusion criteria. These included one randomized controlled trial, three retrospective studies, and one prospective case series. Conclusion: There is no consensus as to whether local glucocorticoid injections have a therapeutic role in the treatment of Achilles tendinopathy However, they may incur a risk of tendon damage and therefore further research is required before glucocorticoid injections can be recommended for use in Achilles tendinopathy.

Item Type:	Conference Item (Poster)
Subjects:	Q Science > QP Physiology R Medicine > RC Internal medicine
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Other > Institute of Advanced Teaching & Learning Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Glucocorticoids, Achilles tendon -- Wounds and injuries -- Treatment, Systematic reviews (Medical research)
Journal or Publication Title:	Foot & Ankle International
Publisher:	Data Trace Publishing Company
ISSN:	1944-7876
Date:	April 2008
Volume:	Vol. 30
Number:	No. 7
Number of Pages:	2
Page Range:	pp. 661-665
Identification Number:	10.1093/rheumatology/kem538
Status:	Not Peer Reviewed
Publication Status:	Published
Description:	Poster presentation.
Version or Related Resource:	Available in: Rheumatology, 47(Suppl.2), pp. II183-II184.
Conference Paper Type:	Poster
Title of Event:	2008 Annual Meeting of the British-Society-Rheumatology/Spring Meeting of British Health Professional in Rheumatology
Type of Event:	Conference
Location of Event:	Liverpool, England
Date(s) of Event:	Apr 22-25, 2008
URI:	http://wrap.warwick.ac.uk/id/eprint/30175

Data sourced from Thomson Reuters' Web of Knowledge

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