RESUMEN
We report a case of deliberate intra-arterial injection of dextropropoxyphene into the palms, leading to chronic oedema of both hands. The aetiology is discussed. This cause must be borne in mind in the diagnosis of chronic oedema of the hands.
Asunto(s)
Dextropropoxifeno/efectos adversos , Edema/inducido químicamente , Mano/irrigación sanguínea , Trastornos Relacionados con Sustancias/complicaciones , Adulto , Dextropropoxifeno/administración & dosificación , Mano/fisiopatología , Humanos , Inyecciones Intraarteriales , MasculinoRESUMEN
Sixty-six patients with acute ruptures of the Achilles tendon were treated by immobilisation in a plaster cast for 12 weeks. Fifty-seven were followed up for a mean time of 70 months. Four re-ruptures occurred shortly after the initial treatment. Most patients had no or only slight complaints, three had moderate and one severe, problems. The activity level dropped slightly from 5.3 to 5.03 (Tegner score). The results are satisfactory with a low complication rate. The method is an alternative to operative repair, especially in patients declining operation and in those in whom operation or anaesthesia is contraindicated.