Simultaneous Bilateral Quadriceps Tendon Rupture Following a Low - Energy Trauma in a Male Body Builder with the History of Anabolic - Androgenic Steroids Consumption

Bagherifard, Abolfazl; Rezazadeh, Jafar; Ghaffari, Salman; Tabrizian, Pouria

doi:10.5812/soj.68635

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…Pathophysiology of tendon ruptures in cases of systemic diseases is thought to be due to inflammatory changes and amyloid deposition that alter the structure of the tendon [10]. Injection of steroids locally into the tendon may affect collagen synthesis and compromise The resultant force is concentrated over the superior pole of the patella, which is firmly locked in the trochlea (point of tear is marked) ing a minor trauma who consumed anabolic androgenic steroids [12]. Chronic inflammation generated by repetitive microtrauma may predispose to degeneration of the tendon by interfering with the healing process and is referred to as Davidson's theory in the literature [13,14].…”

Section: Discussionmentioning

confidence: 99%

The Biomechanical Basis for Rupture of Extensor Mechanism of Knee Joints at Different Sites

Nallamilli

Reddy

Martha

2021

J. Res. Orthop. Sci.

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Rupture of the extensor mechanism of knee joints is rare in patients without any systemic disease. Many reports have described tendons getting ruptured at various sites of the extensor mechanism. We report a case of patellar tendon avulsion from the tibial tuberosity on the right side and quadriceps tendon avulsion from the patella on the left side sustained in one accident. A 54 years old man presented with the above non-identical bilateral extensor mechanism rupture who had no pre-existing systematic diseases and was not on any steroid treatment. Tendon ruptures were always related to systemic degenerative/inflammatory conditions or usage of steroids. However, the reason for the rupture of different parts of the extensor mechanism after minor trauma in case of tendinopathy or after a significant trauma in a normal patient is not well explained. We believe that the degree of knee flexion at the time of injury plays an important role in the site of rupture of the extensor mechanism.

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Section: Discussionmentioning

confidence: 99%

The Biomechanical Basis for Rupture of Extensor Mechanism of Knee Joints at Different Sites

Nallamilli

Reddy

Martha

2021

J. Res. Orthop. Sci.

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“…According to an epidemiological study of ligament and tendon lesions of the musculoskeletal system performed by Clayton and Court-Brown, the rate of patellar ligament rupture was 0.6% (5). Obviously, the rate of BPTR is even lower and generally associated with tendon-weakening comorbidities (2,6). It is estimated that a force of 17.5 times the body weight is needed to tear a healthy patellar tendon (7) and only a few BPTR reports are available in healthy patients.…”

Section: Discussionmentioning

confidence: 99%

Early and Successful Reconstruction of a Traumatic Bilateral Patellar Tendon Rupture: A Case Report

et al. 2018

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Traumatic bilateral patellar tendon rupture (BPTR) is a rare injury with low levels of clinical suspicion, especially in young adults. Since early diagnosis of the BPTR is the cornerstone of a successful management, BPTR reports are valuable as they raise awareness of the careful clinical and radiologic workout in similar cases. Here, we present a case of BPTR in a 34-year-old male following a motorcycle accident. At the emergency department, the necessary examinations including clinical, physical, and radiologic tests were performed and BPTR was diagnosed accordingly. The patient underwent reconstruction surgery the day after the injury. At the last follow-up, the patient was able to perform active straight leg raise with 130°flexion and no extension lag. The superior results of BPTR reconstruction in this report further emphasize the importance of early diagnosis and repair of BPTR. Active straight leg raise test is necessary to perform for all patients with a history of an eccentric load of the knee extensor mechanism, and if positive, extensor mechanism rupture should be strongly suspected.

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Treatments for people who use anabolic androgenic steroids: a scoping review

et al. 2019

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Background: A growing body of evidence suggests that anabolic androgenic steroids (AAS) are used globally by a diverse population with varying motivations. Evidence has increased greatly in recent years to support understanding of this form of substance use and the associated health harms, but there remains little evidence regarding interventions to support cessation and treat the consequences of use. In this scoping review, we identify and describe what is known about interventions that aim to support and achieve cessation of AAS, and treat and prevent associated health problems.Methods: A comprehensive search strategy was developed in four bibliographic databases, supported by an iterative citation searching process to identify eligible studies. Studies of any psychological or medical treatment interventions delivered in response to non-prescribed use of AAS or an associated harm in any setting were eligible. Results: In total, 109 eligible studies were identified, which included case reports representing a diverse range of disciplines and sources. Studies predominantly focussed on treatments for harms associated with AAS use, with scant evidence on interventions to support cessation of AAS use or responding to dependence. The types of conditions requiring treatment included psychiatric, neuroendocrine, hepatic, kidney, cardiovascular, musculoskeletal and infectious. There was limited evidence of engagement with users or delivery of psychosocial interventions as part of treatment for any condition, and of harm reduction interventions initiated alongside, or following, treatment. Findings were limited throughout by the case report study designs and limited information was provided.Conclusion: This scoping review indicates that while a range of case reports describe treatments provided to AAS users, there is scarce evidence on treating dependence, managing withdrawal, or initiating behaviour change in users in any settings. Evidence is urgently required to support the development of effective services for users and of evidence-based guidance and interventions to respond to users in a range of healthcare settings. More consistent reporting in articles of whether engagement or assessment relating to AAS was initiated, and publication within broader health-or drug-related journals, will support development of the evidence base.

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Simultaneous Bilateral Quadriceps Tendon Rupture Following a Low - Energy Trauma in a Male Body Builder with the History of Anabolic - Androgenic Steroids Consumption

Cited by 3 publications

References 11 publications

The Biomechanical Basis for Rupture of Extensor Mechanism of Knee Joints at Different Sites

The Biomechanical Basis for Rupture of Extensor Mechanism of Knee Joints at Different Sites

Early and Successful Reconstruction of a Traumatic Bilateral Patellar Tendon Rupture: A Case Report

Treatments for people who use anabolic androgenic steroids: a scoping review

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