Evidence map›Paper›PMID 39305689›Full record

ArticleInternational journal of surgery case reports2024

Flexor tendon rupture following repeated corticosteroid injections for carpal tunnel syndrome: A case report.

Kyler A Hardie, Alexander J Bergeson, Matthew C Anderson, Andrew C Erie, Robert E Van Demark

Abstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

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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

4 citing papers in PubMed.

  1. Article
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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

5 authors.

Kyler A HardieUniversity of South Dakota Sanford School of Medicine, 1400 W 22nd St, Sioux Falls, SD, USA.
Alexander J BergesonUniversity of South Dakota Sanford School of Medicine, 1400 W 22nd St, Sioux Falls, SD, USA.
Matthew C AndersonUniversity of South Dakota Sanford School of Medicine, 1400 W 22nd St, Sioux Falls, SD, USA; Sanford Orthopedics & Sports Medicine, 1210 West 18th Street, Suite G01, Sioux Falls, SD, USA.
Andrew C ErieUniversity of South Dakota Sanford School of Medicine, 1400 W 22nd St, Sioux Falls, SD, USA; Sanford Radiology, 1210 W 18th St Ste LL03, Sioux Falls, SD, USA.
Robert E Van DemarkUniversity of South Dakota Sanford School of Medicine, 1400 W 22nd St, Sioux Falls, SD, USA; Sanford Orthopedics & Sports Medicine, 1210 West 18th Street, Suite G01, Sioux Falls, SD, USA. Electronic address: robert.vandemarkjr@sanfordhealth.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCorticosteroid injection (CSI) for carpal tunnel syndrome is a common diagnostic and therapeutic procedure. Adverse effects of corticosteroid injections are infrequent, though rare cases of flexor tendon rupture have been documented. PRESENTATION OF CASE: We present a case of a 67-year-old female with acute loss of left index finger flexion due to rupture of the left index flexor digitorum profundus (FDP) and the flexor digitorum superficialis (FDS) tendons and left long finger FDS tendon following numerous carpal tunnel corticosteroid injections. Intraoperatively, she was also found to have a complete rupture of the long finger FDS and partial rupture of the long finger FDP. Side-to-side tendon transfers were performed to restore the flexor tendon function. DISCUSSION: The overall incidence of serious adverse effects in patients receiving CSIs for carpal tunnel syndrome, including flexor tendon rupture, intraneural injection or gangrene, is extremely low. Only three cases of flexor tendon ruptures following CSI for carpal tunnel syndrome have been reported in the literature. Given our patient's multiple CSIs per year over the course of 6 years, she may have been at increased risk of spontaneous tendon rupture given extra-articular CSIs can result in tendon rupture as a rare, but serious complication.

conclusionThis case demonstrates that flexor tendon ruptures are a possible, although rare, complication following steroid injections for carpal tunnel syndrome. Proper injection techniques should be used to minimize adverse effects.

Indexed as

Adverse effectsCarpal tunnelCase reportCorticosteroid injectionTendon repairTendon rupture

Identifiers

PMID39305689
PMCPMC11437819

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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.