Achilles tendon detachment after local infiltration of corticosteroids

a case report

  • Jorge Javier Del Vecchio Hospital Universitario, Fundación Favaloro, Ciudad Autónoma de Buenos Aires, Argentina, Universidad Favaloro, Ciudad Autónoma de Buenos Aires, Argentina and GRECMIP MIFAS (Groupe de Recherche et d’Etude en Chirurgie Mini-Invasive du Pied-Minimally Invasive Foot and Ankle Society), Merignac, France https://orcid.org/0000-0001-5263-7626
  • Eric Daniel Dealbera Hospital Universitario, Fundación Favaloro, Ciudad Autónoma de Buenos Aires, Argentina https://orcid.org/0000-0001-5684-3902
  • Jorge Pablo Batista Consultorios de Artroscopia Jorge Batista, Buenos Aires, Argentina and Club Atletico Boca Juniors, Professional Soccer, Ciudad Autónoma de Buenos Aires, Argentina https://orcid.org/0000-0003-0910-4140
  • Mauricio Esteban Ghioldi Hospital Universitario, Fundación Favaloro, Ciudad Autónoma de Buenos Aires, Argentina https://orcid.org/0000-0002-5953-9380
  • Lucas Nicolás Chemes Hospital Universitario, Fundación Favaloro, Ciudad Autónoma de Buenos Aires, Argentina https://orcid.org/0000-0003-4981-6169
Keywords: Achilles tendon/injuries, Rupture, Injections, intralesional, Bursitis / surgery, Calcaneus

Abstract

Complete disinsertion of the Achilles tendon is relatively rare but is an injury of considerable clinical significance. A 50-year-old non-smoking man presented with complete disinsertion of the Achilles tendon due to an indirect low-energy trauma shortly after administration of local corticosteroid injections (LCI) for treatment of deep retrocalcaneal bursitis. Imaging studies showed complete disinsertion of the Achilles tendon as well as severe Haglund syndrome and retrocalcaneal bursitis. The tendon was repaired, and the Haglund deformity and retrocalcaneal bursa were then resected. Although Achilles tendon rupture is a frequent complication after LCI, to date, no cases of disinsertion have been published. Surgeons must be aware of this issue, especially in patients with previous insertional calcific Achilles tendinosis and Haglund syndrome. Level of Evidence V; Therapeutic Studies; Expert Opinion.

Published
30-04-2021
How to Cite
Del Vecchio, J., Dealbera, E., Batista, J., Ghioldi, M., & Chemes, L. (2021). Achilles tendon detachment after local infiltration of corticosteroids: a case report. Journal of the Foot & Ankle, 15(1), 73-76. https://doi.org/10.30795/jfootankle.2021.v15.1221