ISSN : 1300-0012   E-ISSN 2458-9446 Home      |      Contact      |      TR
 
 
Volume: 32  Issue: 4  Year: 2020
 

Attention: These articles have been accepted for publication; however, this list does not indicate the order in which articles will be published. As new articles are accepted, the order displayed here will change.

Skin depigmentation and subcutaneous fat atrophy after corticosteroid injection for lateral epicondylitis in two elbow [Ağrı]
Ağrı. Ahead of Print: AGRI-69320 | DOI: 10.14744/agri.2019.69320  

Skin depigmentation and subcutaneous fat atrophy after corticosteroid injection for lateral epicondylitis in two elbow

Mustafa Aziz Yıldırım, Kadriye Öneş, Gökşen Gökşenoğlu
Istanbul Physical Therapy Rehabilitation Training and Research Hospital

Lateral epicondylitis are the most common elbow problems in adults. Corticosteroid injection for the treatment of lateral epicondylitis is a frequently used method of conservative management. A 43 year-old woman was referred to our clinic with a 6 month history of pain along the lateral side of her right and left elbow. She had been treated with 20 mg Triamsinolon heksasetonit to the right and left elbow for lateral epicondylitis with the resistance of pain After 3 weeks of the injection, the pain was completely relieved. The patient was able to move easily her elbow within normal limit.Examination also revealed depigmentation of the skin and atrophy of subcutaneous fat over the lateral epicondyle of both elbows. Cortical injection of lateral epicondylitis is useful for pain but injection into the lateral site of the elbow may cause skin and fat atrophy in long term if appropriate injection technique is disregarded.

Keywords: lateral epicondylitis, injection, corticosteroid


Lateral epikondilitte kortikosteroid enjeksiyonu sonrası iki dirsekte gelişen deri depigmentasyonu ve subkutan yağ atrofisi

Mustafa Aziz Yıldırım, Kadriye Öneş, Gökşen Gökşenoğlu
İstanbul Fizik Tedavi Rehabilitasyon Eğitim ve Araştırma Hastanesi

Lateral epikondilit, erişkinlerde en sık rastlanan dirsek sorunudur. Kortikosteroid enjeksiyonu, konservatif tedavide sık kullanılan bir yöntemidir. 43 yaşındaki bir kadın, sağ ve sol dirseğinin lateral yanındaki 6 aylık ağrı hikayesi ile kliniğimize sevk edildi. Sağa ve sol dirseğe 20 mg triamsinolon heksasetonit ile tedavi edilmiş ve ağrı 3 hafta sonra tamamen düzelmiş. Her iki dirsekte eklem hareket açıklığı normaldi. Muayene de ayrıca her iki dirsekin lateral epikondilinde ciltte depigmentasyon ve deri altı yağda atrofi saptandı. Lateral epikondilite kortikosteroid enjeksiyonu, ağrı için faydalıdır fakat eğer uygun enjeksiyon tekniği ile yapılmazsa, uzun vadede deri ve yağ atrofisine neden olabilir.

Anahtar Kelimeler: lateral epikondilit, enjeksiyon, kortikosteroid




Corresponding Author: Mustafa Aziz Yıldırım, Türkiye


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