+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Successive ruptures of patellar and Achilles tendons. Anabolic steroids in competitive sports

Successive ruptures of patellar and Achilles tendons. Anabolic steroids in competitive sports

Der Unfallchirurg 111(1): 46-49

Derivatives of testosterone or of 19-nor-testosterone are used as anabolics for the purpose of improving performance although the effect of anabolics is known still to be under discussion. The use of anabolic steroids continues among competitive athletes despite increased controls and increasingly frequent dramatic incidents connected with them. Whereas metabolic dysfunction during anabolic use is well documented, ruptures of the large tendons are rarely reported. Within 18 months, a 29-year-old professional footballer needed surgery for rupture of the patellar tendon and of both Achilles tendons. Carefully directed questioning elicited confirmation that he had taken different anabolic steroids regularly for 3 years with the intention of improving his strength. After each operation anabolic steroids were taken again at a high dosage during early convalescence and training. Minimally invasive surgery and open suturing techniques led to complete union of the Achilles tendons in good time. Training and anabolic use (metenolon 300 mg per week) started early after suturing of the patellar tendon including bone tunnels culminated in histologically confirmed rerupture after 8 weeks. After a ligament reconstruction with a semitendinosus tendon graft with subsequent infection, the tendon and reserve traction apparatus were lost. Repeated warnings of impaired healing if anabolic use was continued had been given without success. In view of the high number of unrecorded cases in competitive and athletic sports, we can assume that the use of anabolic steroids is also of quantitative relevance in the operative treatment of tendon ruptures.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 056002047

Download citation: RISBibTeXText

PMID: 17701152

DOI: 10.1007/s00113-007-1303-x

Related references

Damage to large tendons: Achilles, patellar and quadriceps tendons. Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 77(7): 637, 2006

Adverse effects of doping with anabolic androgenic steroids in competitive athletics, recreational sports and bodybuilding. Minerva Endocrinologica 43(4): 476-488, 2018

Rupture of the Achilles and patellar tendons. Clinics in Sports Medicine 22(4): 761-776, 2003

Treatment of ruptures of Achilles' tendons by an external fixator. Folia Medica 37(4a Suppl): 92, 1995

Light microscopic histology of achilles tendon ruptures. A comparison with unruptured tendons. American Journal of Sports Medicine 28(6): 857-863, 2000

Blood circulation of patellar and achilles tendons during contractions and heating. Medicine and Science in Sports and Exercise 44(11): 2111-2117, 2012

Poster 135 Sonographic Evaluation of the Achilles and Patellar Tendons in Runners. Pm and R 8(9s): S205-S206, 2016

Morphological and physical-optic studies on Achilles and patellar tendons. Virchows Archiv für Pathologische Anatomie und Physiologie und für Klinische Medizin 340(2): 137-150, 1965

On 88 subcutaneous Achilles tendon ruptures in sports. Monatsschrift für Unfallheilkunde und Versicherungsmedizin 64: 325-329, 1961

American College of Sports Medicine position stand on the use of anabolic-androgenic steroids in sports. Medicine and Science in Sports and Exercise 19(5): 534-539, 1987

American College of Sports Medicine. Position statement on the use and abuse of anabolic-androgenic steroids in sports. Medicine and Science in Sports 9(4): Xi-Xii, 1977

Effects of Cigarette Smoking on Elastographic Strain Ratio Measurements of Patellar and Achilles Tendons. Journal of Ultrasound in Medicine 35(11): 2431-2438, 2016

Strain Ratio Measurements of Patellar and Achilles Tendons With Different Reference Regions in Healthy Volunteers. Ultrasound in Medicine and Biology 45(8): 2027-2033, 2019

Sport-Specific Capacity to Use Elastic Energy in the Patellar and Achilles Tendons of Elite Athletes. Frontiers in Physiology 8: 132, 2017

Early controlled tension improves the material properties of healing human achilles tendons after ruptures: a randomized trial. American Journal of Sports Medicine 41(11): 2550-2557, 2013