steoarthritis of the thumb carpometacarpal, or basilar, joint is nearly universal as people age and can be debilitating or asymptomatic. 1,2 When patients do not adequately respond to nonoperative measures, a variety of surgical procedures are available and are mostly efficacious. No procedure is superior, with no notable differences between them other than perhaps cost and complications. [3][4][5][6][7][8][9][10][11] Still, there is a definite subset of patients, up to at least 15 percent, who are dissatisfied with some aspects of their surgical result regardless of the techniques
Case:
A 36-year-old male competitive powerlifter sustained asynchronous bilateral Achilles tendon ruptures after using 2 types of selective androgen receptor modulators (SARMs). Both tendon ruptures occurred near the myotendinous junction and were treated with open surgical repair and an initial period of immobilization followed by progressive weightbearing and rehabilitation; no postoperative complications were observed.
Conclusion:
Previous studies have reported that anabolic androgenic steroids have a deleterious impact on tendon structure and function. This case suggests that SARM compounds may also predispose users to Achilles tendon rupture.
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