| Neglected spontaneous rupture of the Achilles tendon in elderly patients with rheumatoid arthritis. | |
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MedLine Citation:
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PMID: 20661068 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Spontaneous Achilles tendon rupture associated with rheumatoid arthritis (RA) is a very rare complication. In this report, we have experienced neglected spontaneous rupture of the Achilles tendon in 5 elderly RA patients, and report its clinical features and management. These patients had taken corticosteroids for a long time for RA control. Moreover, they did not show any signs, such as click or impact on the rear foot at the moment of the rupture, and had few complaints or obvious symptoms around their ankles or the rear of the foot after the rupture. This suggests that the lack of severe symptoms prevented the early diagnosis of the Achilles tendon rupture, and that this injury had been neglected during treatment for RA. Therefore, careful diagnosis of the Achilles tendon rupture is needed in elderly patients with RA, even if they have little or no history of trauma. |
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Authors:
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Yoshinori Mikashima; Koichiro Kawamura; Motoko Miyawaki; Kaoru Murakoshi; Norio Usami; Shigeki Momohara |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases Volume: 16 ISSN: 1536-7355 ISO Abbreviation: J Clin Rheumatol Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-27 Completed Date: 2010-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9518034 Medline TA: J Clin Rheumatol Country: United States |
Other Details:
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Languages: eng Pagination: 221-4 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Institute of Rheumatology, Tokyo Women's Medical University, Shinjuku, Tokyo, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Achilles Tendon
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injuries*,
pathology,
surgery Adrenal Cortex Hormones / therapeutic use Aged Arthritis, Rheumatoid / complications*, drug therapy Female Humans Magnetic Resonance Imaging Male Middle Aged Rupture, Spontaneous / etiology, pathology, surgery Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Adrenal Cortex Hormones |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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