Case ReportsAsynchronous Bilateral Achilles Tendon Rupture with Selective Androgen Receptor Modulators A Case ReportGould, Heath P. MD1; Hawken, Jessica B. MD1; Duvall, Grant T. MD1; Hammond, Jason W. MD1,a Author Information 1Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, Maryland aE-mail address for J.W. Hammond: [email protected] Investigation performed at Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, Maryland Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/B411). JBJS Case Connector: April-June 2021 - Volume 11 - Issue 2 - e20.00635 doi: 10.2106/JBJS.CC.20.00635 Buy Metrics Abstract 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. Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated
