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Glucocorticoid injections in lesions of the achilles tendon - a systematic review
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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. doi:10.1093/rheumatology/kem538 ISSN 1944-7876.
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Official URL: http://dx.doi.org/10.1093/rheumatology/kem538
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) | ||||
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Subjects: | Q Science > QP Physiology R Medicine > RC Internal medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Other > Institute of Advanced Teaching & Learning Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit |
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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 | ||||
Official Date: | April 2008 | ||||
Dates: |
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Volume: | Vol. 30 | ||||
Number: | No. 7 | ||||
Number of Pages: | 2 | ||||
Page Range: | pp. 661-665 | ||||
DOI: | 10.1093/rheumatology/kem538 | ||||
Status: | Not Peer Reviewed | ||||
Publication Status: | Published | ||||
Description: | Poster presentation. |
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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 |
Data sourced from Thomson Reuters' Web of Knowledge
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