{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T21:12:49Z","timestamp":1778188369789,"version":"3.51.4"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T00:00:00Z","timestamp":1725926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Corticosteroid 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of Case:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110277","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T06:47:20Z","timestamp":1726123640000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Flexor tendon rupture following repeated corticosteroid injections for carpal tunnel syndrome: A case report"],"prefix":"10.1097","volume":"123","author":[{"given":"Kyler A.","family":"Hardie","sequence":"first","affiliation":[{"name":"University of South Dakota Sanford School of Medicine, 1400 W 22nd St, Sioux Falls, SD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander J.","family":"Bergeson","sequence":"additional","affiliation":[{"name":"University of South Dakota Sanford School of Medicine, 1400 W 22nd St, Sioux Falls, SD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew C.","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew C.","family":"Erie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E.","family":"Van Demark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-101-20260507","doi-asserted-by":"crossref","DOI":"10.1016\/j.jor.2023.02.011","article-title":"Injections for treatment of carpal tunnel syndrome: a narrative review of the literature","author":"Cage,","year":"2023","journal-title":"J. Orthop."},{"issue":"3","key":"R2-101-20260507","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1177\/1753193417734426","article-title":"Safety of corticosteroid injection for carpal tunnel syndrome","volume":"43","author":"Kaile,","year":"2018","journal-title":"J. Hand Surg. Eur."},{"issue":"3","key":"R3-101-20260507","doi-asserted-by":"crossref","first-page":"198","DOI":"10.22467\/jwmr.2020.01291","article-title":"Treatment and rehabilitation for ruptured flexor digitorum profundus tendon after steroid injection in trigger finger and carpal tunnel syndrome","volume":"16","author":"Park,","year":"2020","journal-title":"J. Wound Manag. Res."},{"issue":"15","key":"R4-101-20260507","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1001\/jama.1980.03300410035021","article-title":"Complications of local corticosteroid injections","volume":"243","author":"Gottlieb,","year":"1980","journal-title":"JAMA"},{"issue":"5","key":"R5-101-20260507","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"issue":"1","key":"R6-101-20260507","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1177\/1558944718787330","article-title":"Accuracy of carpal tunnel injection: a prospective evaluation of 756 patients","volume":"15","author":"Green,","year":"2020","journal-title":"Hand"},{"issue":"6","key":"R7-101-20260507","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1080\/02844310802401363","article-title":"Comparison of carpal tunnel injection techniques: a cadaver study","volume":"42","author":"Ozturk,","year":"2008","journal-title":"Scand. J. Plast. Reconstr. Surg. Hand Surg."},{"issue":"17","key":"R8-101-20260507","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.M.01250","article-title":"Comparison of ultrasound and electrodiagnostic testing for diagnosis of carpal tunnel syndrome: study using a validated clinical tool as the reference standard","volume":"96","author":"Fowler,","year":"2014","journal-title":"J. Bone Jt. Surg."},{"issue":"4","key":"R9-101-20260507","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1177\/036354657300100404","article-title":"The effect of local steroid injections on tendon","volume":"1","author":"Unverferth,","year":"1973","journal-title":"J. Sports Med."},{"issue":"3","key":"R10-101-20260507","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1097\/00006534-198203000-00014","article-title":"Peripheral nerve injection injury with steroid agents","volume":"69","author":"Mackinnon,","year":"1982","journal-title":"Plast. Reconstr. Surg."},{"issue":"8","key":"R11-101-20260507","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1016\/j.apmr.2018.03.003","article-title":"Effectiveness of oral pain medication and corticosteroid injections for carpal tunnel syndrome: a systematic review","volume":"99","author":"Huisstede,","year":"2018","journal-title":"Arch. Phys. Med. Rehabil."},{"issue":"1","key":"R12-101-20260507","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1186\/1471-2474-11-206","article-title":"Adverse effects of extra-articular corticosteroid injections: a systematic review","volume":"11","author":"Brinks,","year":"2010","journal-title":"BMC Musculoskelet. Disord."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010587?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010587?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T21:01:11Z","timestamp":1778187671000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110277","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-08-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}