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Achilles Tendon Rupture as a Result of Oral Steroid Therapy

Bryan L. Hersh, DPM^* and Nicholas S. Heath, DPM

^* Submitted during second-year residency, Multicare Foot and Ankle Residency, Tacoma, WA. Mailing address: Foot and Ankle Clinics of America, 1001 N Dearborn St, Chicago, IL 60610.
Attending Physician, Multicare Foot and Ankle Residency, Tacoma, WA; private practice, Tacoma, WA.

Abstract

Spontaneous Achilles tendon rupture associated with long-term oral steroid use is not uncommon, particularly in older patients who use these drugs daily to treat systemic diseases. Rupture often results in a large defect, which complicates surgical repair. The authors review Achilles tendon rupture associated with systemic and local steroid use and present a case of rupture due to chronic oral steroid use in a patient with Addison’s disease. (J Am Podiatr Med Assoc 92(6): 355-358, 2002)

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