Skip to main content

Drug-Induced Tendon Disorders

  • Chapter
  • First Online:
Metabolic Influences on Risk for Tendon Disorders

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 920))

Abstract

Drug-induced tendon disorders are an often underestimated risk factor. The range from detrimental effects on the tendon include tendinopathy as well as potentially tendon rupture. As for today, four main drug classes have been reported to be associated with potentially deteriorated tendon properties: 1. Corticosteroids, 2. Chinolon antibiotics, 3. Aromatase inhbitors, 4. Statins as HMG-CoA-reductase inhibitors. Most often, the Achilles tendon is affected in terms of tendinopathy and/or subsequent tendon rupture. However, nearly every tendon of the entire body might be affected in a detrimental way by one or a combination of the aformentioned agents.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kirchgesner T, Larbi A, Omoumi P, Malghem J, Zamali N, Manelfe J, Lecouvet F, Vande Berg B, Djebbar S, Dallaudiere B (2014) Drug-induced tendinopathy: from physiology to clinical applications. Joint Bone Spine 81(6):485–492

    Article  CAS  PubMed  Google Scholar 

  2. Martin JR, Wilson CL, Mathews WH (1958) Bilateral rupture of the ligamenta patellae in a case of disseminated lupus erythematosus. Arthritis Rheum 1(6):548–552

    Article  CAS  PubMed  Google Scholar 

  3. Twinning RH, Marcus WY, Garey JL (1964) Tendon rupture in systemic lupus erythematosus. JAMA 189:377–378

    Article  Google Scholar 

  4. Vallone G, Vittorio T (2014) Complete Achilles tendon rupture after local infiltration of corticosteroids in the treatment of deep retrocalcaneal bursitis. J Ultrasound 17(2):165–167

    Article  PubMed  PubMed Central  Google Scholar 

  5. Celli A (2015) Triceps tendon rupture: the knowledge acquired from the anatomy to the surgical repair. Musculoskleletal Surg 2015 May 10

    Google Scholar 

  6. Oh J, Jo L, Lee JI (2015) Do not rush to return to sports after trigger finger injection. Am J Phys Med Rehabil 94(4):e26–e30

    Article  PubMed  Google Scholar 

  7. Boussakri H, Bouali A (2014) Subcutaneous rupture of the extensor pollicis longus tendon after corticosteroid injections for DeQuervain’s stenosing tenovaginitis. Case Rep Orthop 2014:934384

    PubMed  PubMed Central  Google Scholar 

  8. Boussakri H, Bouali A (2014) Subcutaneous rupture of the extensor pollicis longus tendon after corticosteroid injections in DeQuervain stenosing tendovaginitis. Case Rep Orthop 2014:934384

    PubMed  PubMed Central  Google Scholar 

  9. Kearney RS, Parsons N, Metcalfe D, Costa ML (2015) Injection therapies for Achilles tendinopathy. Cochrane Database Syst Rev 5:CD010960

    PubMed  Google Scholar 

  10. Muto T, Kokubu T, Mifune Y, Inui A, Harada Y, Yoshifumi, Takase F, Kuroda R, Kurosaka M (2014) Temporary inductions of matrix metalloprotease-3 (MMP3) expression and cell apoptosis are associated with tendon degeneration or rupture after corticosteroid injection. J Orthop Res 32(10):1297–1304

    Article  CAS  PubMed  Google Scholar 

  11. Coombes BK, Bisset L, Vicenzino B (2010) Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet 376(9754):1751–1767. doi:10.1016/S0140-6736(10)61160-9. Epub 2010 Oct 21

    Article  CAS  PubMed  Google Scholar 

  12. Maman E, Yehuda C, Pritsch T, Morag G, Brosh T, Sharfman Z, Dolkart O (2015) Detrimentral effect of repeated and single subacromial corticosteroid injections on the intact and injured rotator cuff: a biomechanical and imaging study in rats. Am J Sports Med 2015 Jul 27

    Google Scholar 

  13. American Thoracic Society; Infectious Diseases Society of America (2005) Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 171(4):388–416

    Article  Google Scholar 

  14. Petersen W, Laprell H (1998) Insidious rupture of the Achilles tendon after ciprofloxacin-induced tendinopathy. A case report. Unfallchirurg 101(9):731–734

    Article  CAS  PubMed  Google Scholar 

  15. Shimatsu K, Subramaniam S, Sim H, Aronowitz P (2014) Ciprofloxacin-induced tendinopathy of the gluteal tendons. J Gen Intern Med 29(11):1559–1562

    Article  PubMed  PubMed Central  Google Scholar 

  16. Juras V, Winhofer Y, Szomolanyi P, Vosshenrich J, Hager B, Wolf P, Weber M, Luger A, Trattnig S (2015) Multiparametric MR imaging depicts Glycosaminoglycan change in the Achilles tendon during ciprofloxacin administration in healthy men: initial observation. Radiology 275(3):763–771

    Article  PubMed  PubMed Central  Google Scholar 

  17. Olcay E, Beytemur O, Kaleagasioglu F, Gulmez T, Mutlu Z, Olgac V (2011) Oral toxicity of pefloxacin, norfloxacin, ofloxacin and ciprofloxacin: comparison of biomechanical and histopathological effects on Achilles tendon in rats. J Toxicol Sci 36(3):339–345

    Article  CAS  PubMed  Google Scholar 

  18. Goss PE, Ingle JN, Martino S, Robert NJ, Muss HB, Piccart MJ et al (2005) Randomized trial of letrozole following tamoxifen as extended adjuvant therapy in receptor-positive breast cancer: updated findings from NCIC CTG MA. 17. J Natl Cancer Inst 97:1262–1271. [PubMed: 16145047]

    Article  CAS  PubMed  Google Scholar 

  19. Winer EP, Hudis C, Burstein HJ, Wolff AC, Pritchard KI, Ingle JN et al (2005) American Society of Clinical Oncology technology assessment on the use of aromatase inhibitors as adjuvant therapy for postmenopausal women with hormone receptor-positive breast cancer: status report 2004. J Clin Oncol 23:619–629. [PubMed: 15545664]

    Article  CAS  PubMed  Google Scholar 

  20. Henry NL, Giles JT, Ang D, Mohan M, Dadabhoy D, Robarge J et al (2008) Prospective characterization of musculoskeletal symptoms in early stage breast cancer patients treated with aromatase inhibitors. Breast Cancer Res Treat 111:365–372. [PubMed: 17922185]

    Article  CAS  PubMed  Google Scholar 

  21. Morales L, Pans S, Paridaens R, Westhovens R, Timmerman D, Verhaeghe J et al (2006) Debilitating musculoskeletal pain and stiffness with letrozole and exemestane: associated tenosynovial changes on magnetic resonance imaging. Breast Cancer Res Treat 104:87–91. [PubMed: 17061044]

    Article  PubMed  Google Scholar 

  22. Lintermans A, Laenen A, Van Calster B et al (2013) Prospective study to assess fluid accumulation and tenosynovial changes in the aromatase inhibitor-induced musculoskeletal syndrome: 2-year-follow-up data. Ann Oncol 24(2):350–355

    Article  CAS  PubMed  Google Scholar 

  23. Ly JQ, Bui-Mansfield LT (2004) Anatomy of and abnormalities associated with Kager’s fat Pad. AJR Am J Roentgenol 182:147–154

    Article  PubMed  Google Scholar 

  24. Pingel J, Petersen MC, Fredberg U, Kjaer SG, Quistorff B, Langberg H, Hansen JB (2015) Inflammatory and metabolic alterations of the Kager’s fat pad in chronic Achilles tendinopathy. PLoS One 10(5):e0127811

    Article  PubMed  PubMed Central  Google Scholar 

  25. Hoffa A (1904) The influence of the adipose tissue with regard to the pathology of the knee joint. JAMA 43:795–796

    Article  Google Scholar 

  26. Magi M, Branca A, Bucca C, Langerame V (1991) Hoffa disease. Ital J Orthop Traumatol 17:211–216

    CAS  PubMed  Google Scholar 

  27. Ioan-Facsinay A, Kloppenburg M (2013) An emerging player in knee osteoarthritis: the infrapatellar fat pad. Arthritis Res Ther 15:225

    Article  PubMed  PubMed Central  Google Scholar 

  28. Tang CH, Chiu YC, Tan TW, Yang RS, Fu WM (2007) Adiponectin enhances IL-6 production in human synovial fibroblast via an AdipoR1 receptor, AMPK, p38, and NF-kappa B pathway. J Immunol (Baltimore, MD: 1950) 179:5483–5492

    Google Scholar 

  29. Gomez R, Lago F, Gomez-Reino J, Dieguez C, Gualillo O (2009) Adipokines in the skeleton: influence on cartilage function and joint degenerative diseases. J Mol Endocrinol 43:11–18. doi:10.1677/JME-08-0131

    Article  CAS  PubMed  Google Scholar 

  30. Gaida JE, Alfredson L, Kiss ZS, Wilson AM, Alfredson H, Cook JL (2009) Dyslipidemia in Achilles tendinopathy is characteristic of insulin resistance. Med Sci Sports Exerc 41(6):1194–1197

    Article  CAS  PubMed  Google Scholar 

  31. Gaida JE, Alfredson H, Kiss ZS, Bass SL, Cook JL (2010) Asymptomatic Achilles tendon pathology is associated with a central fat distribution in men and a peripheral fat distribution in women: a cross sectional study of 298 individuals. BMC Musculoskelet Disord 11:41

    Article  PubMed  PubMed Central  Google Scholar 

  32. Gaida JE, Ashe MC, Bass SL, Cook JL (2009) Is adiposity an under-recognized risk factor for tendinopathy? A systematic review. Arthritis Rheum 61(6):840–849

    Article  PubMed  Google Scholar 

  33. Ho LT, Lin LY, Yang YH, Wu CK, Juang JJ, Wang YC, Tsai CT, Lai LP, Hwang JJ, Chiang FT, Lin JL, Chen PC (2015) Statin therapy lowers the risk of new-onset atrial fibrillation in patients with end-stage renal disease. Int J Cardiol 201:538–543

    Article  PubMed  Google Scholar 

  34. Bhandari S, Gupta P, Quinn P, Sandhu J, Hakimi A, Jones D, Ng L (2015) Pleiotropic effects of statins in hypercholerolaemia: a prospective observational study using a lipoproteomic based approach. Lancet 2015;385 Suppl 1:S21

    Google Scholar 

  35. Thomsen LL, Laursen JO (2014) Spontaneous bilateral quadriceps tendon rupture in obese patient medicated with statin. Ugeskr Laeger 176:50

    PubMed  Google Scholar 

  36. Kaleagasioglu F, Olcay E, Olgac V. Statin-induced calcific Achilles tendinopathy in rats: comparison of biomechanical and histopathological effects of simvastatin, atorvastatin and rosuvastatin. Knee Surg Sports Traumtol Arthrosc 2015 Aug 15

    Google Scholar 

  37. De Oliveira LP, Vieira CP, Guerra FD, Almeida MS, Pimentel ER (2015) Structural and biomechanical changes in Achilles tendon after chronic treatment with statins. Food Chem Toxicol 77:50–57

    Article  PubMed  Google Scholar 

  38. Kuzma-Kuzniarska M, Cornell HR, Moneke MC, Carr AJ, Hulley PA (2015) Lovastatin-mediated changes in human tendon cells. J Cell Physiol 230(10):2543–2551

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Kamio K, Liu XD, Sugiura H, Togo S, Kawasaki S, Wang X, Ahn Y, Hogaboam C, Rennard SI (2010) Statins inhibit matrix metalloproteinase release from human lung fibroblasts. Eur Respir J 35:637–646

    Article  CAS  PubMed  Google Scholar 

  40. Izidoro-Toledo TC, Guimarães DA, Belo VA, Gerlach RF, Tanus-Santos JE (2011) Effects of statins on matrix metalloproteinases and their endogenous inhibitors in human endothelial cells. Naunyn-Schmiedeberg’s Arch Pharmacol 383:547–554

    Article  CAS  Google Scholar 

  41. Schaafsma D, Dueck G, Ghavami S, Kroeker A, Mutawe MM, Hauff K, Xu FY, Mcneill KD, Unruh H, Hatch GM, Halayko AJ (2011) The mevalonate cascade as a target to suppress extracellular matrix synthesis by human airway smooth muscle. Am J Respir Cell Mol Biol 44:394–403

    Article  CAS  PubMed  Google Scholar 

  42. Davis ME, Korn MA, Gumucio JP, Harning JA, Saripalli AL, Bedi A, Mendias CL (2015) Simvastatin reduces fibrosis and protects against muscle weakness after massive rotator cuff tear. J Shoulder Elbow Surg 24(2):280–287

    Article  PubMed  Google Scholar 

  43. Dolkart O, Liron T, Chechik O, Somjen D, Brosh T, Maman E, Gabet Y (2014) Statins enhance rotator cuff healing by stimulating the COX2/PGE2/EP4 pathway: an in vivo and in vitro study. Am J Sports Med 42(12):2869–2876

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karsten Knobloch .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Knobloch, K. (2016). Drug-Induced Tendon Disorders. In: Ackermann, P., Hart, D. (eds) Metabolic Influences on Risk for Tendon Disorders. Advances in Experimental Medicine and Biology, vol 920. Springer, Cham. https://doi.org/10.1007/978-3-319-33943-6_22

Download citation

Publish with us

Policies and ethics