Gökşen GÖKŞENOĞLU, Mustafa Aziz YILDIRIM, Kadriye ÖNEŞ

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

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 epikondilit tedavisinde kortikosteroid enjeksiyonu alternatif konservatif tedavi olarak kullanılabilir. Depigmentasyon veya subkutanöz doku atrofisi uygun olmayan teknikle veya aşırı kortizon dozunda ortaya çıkabilir..

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

Lateral epicondylitis is the most common elbow problem 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. In the treatment of lateral epicondylitis, corticosteroid injection can be used for alternative conservative treatment. Depigmentation or subcutaneous tissue atrophy may occur inappropriate technique or excessive cortisone dose.

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