Acute Radial Artery Ischemia Following Therapeutic Steroid Injection

Swindells, Mark G.; Tehrani, Hamid; Goodwin-Walters, A.; Sassoon, Elaine M.

doi:10.1097/01.sap.0000237637.65119.16

Cited by 5 publications

(2 citation statements)

References 7 publications

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“…One study described thirteen patients who developed 15 ruptured tendons subsequent to injection of a depository steroid in or around the tendons injected [44]. One study reported ischemia of the hand after carpal tunnel injection and one study after a corticosteroid injection for de Quervain tenosynovitis [45,46]. Nerve injury after steroid injection for carpal tunnel syndrome is described in 3 studies [47-49].…”

Section: Resultsmentioning

confidence: 99%

Adverse effects of extra-articular corticosteroid injections: a systematic review

Brinks

Koes

Volkers

et al. 2010

BMC Musculoskelet Disord

192

122

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BackgroundTo estimate the occurrence and type of adverse effects after application of an extra-articular (soft tissue) corticosteroid injection.MethodsA systematic review of the literature was made based on a PubMed and Embase search covering the period 1956 to January 2010. Case reports were included, as were prospective and retrospective studies that reported adverse events of corticosteroid injection. All clinical trials which used extra-articular corticosteroid injections were examined. We divided the reported adverse events into major (defined as those needing intervention or not disappearing) and minor ones (transient, not requiring intervention).ResultsThe search yielded 87 relevant studies:44 case reports, 37 prospective studies and 6 retrospective studies. The major adverse events included osteomyelitis and protothecosis; one fatal necrotizing fasciitis; cellulitis and ecchymosis; tendon ruptures; atrophy of the plantar fat was described after injecting a neuroma; and local skin effects appeared as atrophy, hypopigmentation or as skin defect. The minor adverse events effects ranged from skin rash to flushing and disturbed menstrual pattern. Increased pain or steroid flare after injection was reported in 19 studies. After extra-articular injection, the incidence of major adverse events ranged from 0-5.8% and that of minor adverse events from 0-81%. It was not feasible to pool the risk for adverse effects due to heterogeneity of study populations and difference in interventions and variance in reporting.ConclusionIn this literature review it was difficult to accurately quantify the incidence of adverse effects after extra-articular corticosteroid injection. The reported adverse events were relatively mild, although one fatal reaction was reported.

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Section: Resultsmentioning

confidence: 99%

Adverse effects of extra-articular corticosteroid injections: a systematic review

Brinks

Koes

Volkers

et al. 2010

BMC Musculoskelet Disord

192

122

View full text Add to dashboard Cite

show abstract

“…No further intervention was needed, and the skin lesions fully healed within a week. Arterial embolization of steroids has been rarely reported, and in those cases, it was secondary to corticosteroid injection in the wrist ().…”

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confidence: 99%