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Glucocorticoid injections in lesions of the achilles tendon
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Metcalfe, David, Achten, Juul and Costa, Matthew L. (2009) Glucocorticoid injections in lesions of the achilles tendon. Foot & Ankle International, 30 (7). pp. 661-665. doi:10.3113/FAI.2009.0661 ISSN 1944-7876.
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Official URL: http://dx.doi.org/10.3113/FAI.2009.0661
Abstract
Background: A number of non-operative interventions are used to manage Achilles tendinopathy. In particular, local glucocorticoid 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 glucocorticoid injections may be associated with rupture of the Achilles tendon. This systematic review considered all available clinical trials measuring the effect of local glucocorticoid 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: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Foot & Ankle International | ||||
Publisher: | Data Trace Publishing Company | ||||
ISSN: | 1944-7876 | ||||
Official Date: | 2009 | ||||
Dates: |
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Volume: | 30 | ||||
Number: | 7 | ||||
Page Range: | pp. 661-665 | ||||
DOI: | 10.3113/FAI.2009.0661 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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