Biceps rupture in bodybuilders: Three case reports of rupture of the long head of the biceps at the tendon-labrum junction

Cope, Marcus R.; Ali, Anil; Bayliss, Neil

doi:10.1016/j.jse.2004.03.003

Cited by 41 publications

(25 citation statements)

References 6 publications

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“…High doses and repetitive use of AASs can have various adverse effects on multiple organs and systems including, but not limited to, the cardiovascular, hepatic, dermatologic, musculoskeletal, reproductiveendocrine, and even psychiatric [46]. For example, there have been several reported cases of upper and lower extremity tendon rupture [17,19,43,61,63,72], which may be caused by increased forces being transmitted from the hypertrophied musculature to tendon. Anabolic steroids may alter tendon crimp morphology, which can affect risk of tendon rupture [40].…”

Section: Effect Of Anabolic-androgenic Steroids On Tendon-bone Healingmentioning

confidence: 99%

Biological Augmentation of Rotator Cuff Tendon Repair

Kovacevic

Rodeo

2008

Clinical Orthopaedics &Amp; Related Research

225

181

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A histologically normal insertion site does not regenerate following rotator cuff tendon-to-bone repair, which is likely due to abnormal or insufficient gene expression and/or cell differentiation at the repair site. Techniques to manipulate the biologic events following tendon repair may improve healing. We used a sheep infraspinatus repair model to evaluate the effect of osteoinductive growth factors and BMP-12 on tendon-to-bone healing. Magnetic resonance imaging and histology showed increased formation of new bone and fibrocartilage at the healing tendon attachment site in the treated animals, and biomechanical testing showed improved load-to-failure. Other techniques with potential to augment repair site biology include use of platelets isolated from autologous blood to deliver growth factors to a tendon repair site. Modalities that improve local vascularity, such as pulsed ultrasound, have the potential to augment rotator cuff healing. Important information about the biology of tendon healing can also be gained from studies of substances that inhibit healing, such as nicotine and antiinflammatory medications. Future approaches may include the use of stem cells and transcription factors to induce formation of the native tendon-bone insertion site after rotator cuff repair surgery.

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Section: Effect Of Anabolic-androgenic Steroids On Tendon-bone Healingmentioning

confidence: 99%

Biological Augmentation of Rotator Cuff Tendon Repair

Kovacevic

Rodeo

2008

Clinical Orthopaedics &Amp; Related Research

225

181

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“…The consumption of the AS can lead to rupture of tendons due to excessive load at insertion points that, according to some studies, is related to alterations in the structure of collagen fibers [37]. Laboratory tests can reveal increases in creatine kinase.…”

Section: Other Complicationsmentioning

confidence: 99%

Anabolic steroids: dependence and complications of chronic use

et al. 2009

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Anabolic steroids are widely used for doping, in professional and domestic sports. The mechanism of action is not completely understood. It may differ somewhat depending on the specific molecule due to structural differences that influence the specificity of binding with steroid receptors. When used by athletes in training, they can improve performance to levels that cannot be attained by almost any combination of sophisticated nonchemical support by modern sport science. The severity of the undesired effects of anabolic steroids depends on a variety of factors, from the type and combination of them, the dose and duration of administration, as well as the gender of the person taking the drug. Younger individuals and women show greater effects caused by anabolic steroids in terms of performance, but are also at greater risk of side effects. This paper presents a review of the literature concerning the major adverse effects of anabolic steroids, focusing the attention on possible situations of addiction from this category of drugs.

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“…19 Less commonly, ruptures have been reported in weight lifters at the musculotendinous junction and within the muscle belly. 5 Recently, the diagnosis and treatment of a 36-year-old man who sustained a proximal biceps rupture while arm wrestling and his operative management have been described; 18 in addition, there is a report of an isolated LHBT rupture in an underhand thrower, as a result of the increased bicep muscle activity or increased tendon excursion in the windmill-pitching motion. 9 While nonoperative treatment is often successful, operative treatment may be required for those patients who do not achieve acceptable pain control or functional recovery.…”

mentioning

confidence: 99%

“…11,13 Keyhole tenodesis was introduced to overcome these inadequacies, with the tendon attached to the bone which permits immediate mobilization. 5 Fixation of the tendon to the bone with interference screw has been used by some authors, combining this technique to the arthroscopic surgery. 1,2 Other authors have combined the arthroscopic with percutaneous, intra-articular trans-tendon technique or with miniopen tenodesis.…”

mentioning

confidence: 99%