ArticleCureus2025
Bilateral Achilles Tendon Rupture in a Patient With End-Stage Chronic Obstructive Pulmonary Disease.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This case report describes an unusual case of bilateral Achilles tendon rupture in a 65-year-old patient with severe chronic obstructive pulmonary disease (COPD). The patient presented with decreased mobility, severe pain, and swelling in both calves following multiple courses of dexamethasone for the acute exacerbation of COPD. Notably, there was no history of trauma. Tendon rupture is a recognised, albeit rare, side effect of corticosteroid use. This case highlights the importance of counselling patients about the potential adverse effects of corticosteroids, including their impact on tendon health. It emphasises the need to use steroids judiciously in clinical practice and to avoid their use in patients with a history of atraumatic tendon rupture. Early involvement of the orthopaedic team is recommended to facilitate timely diagnosis, guide management decisions, and optimise functional recovery.
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