Evidence map›Paper›PMID 24222527›Full record

ArticleMusculoskeletal surgery2014

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

A Turmo-Garuz, G Rodas, R Balius, L Til, M Miguel-Perez, C Pedret, A Del Buono, N Maffulli

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In one paragraph

Article in Musculoskeletal surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

A Turmo-GaruzHigh Performance Center (CAR de Sant Cugat Consorci Sanitari de Terrassa), Barcelona, Spain.
G Rodas
R Balius
L Til
M Miguel-Perez
C Pedret
A Del Buono
N Maffulli
Consorci Sanitari de Terrassa · ESFC Barcelona · ESUniversitat de Barcelona · ESMile End Hospital · GBUniversità Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe 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.

methodsThree 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.

resultsAn unexpected connection between the retrocalcaneal bursa and the anterior fibers of the Achilles tendon was found in all instances.

conclusionsLocal 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.

Indexed as

Achilles TendonAdultBetamethasoneBursitisCadaverCalcaneusGlucocorticoidsHumansInjections, IntralesionalMaleMuscle, SkeletalRuptureBetamethasonebetamethasone acetateGlucocorticoids

Identifiers

PMID24222527
OpenAlexW2080940170

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.