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Torn biceps recovers faster in steroids users
Athletes with torn attachments to their biceps recover faster after surgery if they use anabolics . Surgeons write that from Aristotle’s University of Thessaloniki in Greece in Injury.
Doctors do not know for certain whether anabolics increase the chance of muscle tearing or not. It is certain that many users need surgery after they have torn attachments or muscles, but it is not clear what exactly those injuries are causing: the anabolics or the - too heavy - training that the users have submitted to.
However, the Greeks looked at another aspect. They studied 17 male athletes, who underwent surgery between 2003 and 2009 after tearing the attachments of their biceps to their forearms. They followed those athletes for 2 years, and after 4 weeks [1st follow up], 16 weeks [2nd follow up], 1 year [3rd follow up] and 2 years [4th follow up] determined the extent of their recovery.
Of the operated athletes, 6 used anabolics, 11 did not.
The researchers presented the athletes with standardized questionnaires during each follow-up that measure the functioning of the elbow and the hand-elbow-shoulder system. Based on the answers, the researchers calculated the Mayo Elbow Performance Score [atlantaspinal.com] and the men’s Disabolitions Of The Arm, Shoulder And Hand Score [dash.iwh.on.ca] .
You can see the development of the Mayo Elbow Performance Score below. The higher that score is, the better the elbow functions. As you can see, the steroids users recover faster than the non-users.
The second figure below shows the development of the Disabolities Of The Arm, Shoulder And Hand Score . You can also deduce with some good will that steroids users recover faster than non-users.
Well, the research was small and you have to be careful when drawing conclusions, the Greeks acknowledge. But if larger studies confirm the results, then surgeons could investigate whether they could use steroids therapeutically after this type of intervention.
" For anabolic therapies, concerns regarding potential pharmaceutical toxicity and safety issues are only related to high doses, with low-dose, short-term treatment strategies (with adjuvant hepatoprotection) likely to have reduced toxic effects, deeming their clinical merit worth testing “, write the researchers. " Alternatively, application of emerging tissue engineering technologies (that facilitate the timed and controlled release of anabolic agents) could help minimize potential side effects .”
Source:
Injury. 2011 Nov; 42 (11): 1307-12.
((Study below))
Injury. 2011 Nov;42(11):1307-12. doi: 10.1016/j.injury.2011.03.018. Epub 2011 Apr 11.
The effect of steroid-abuse on anatomic reinsertion of ruptured distal biceps brachii tendon.
Pagonis T1, Givissis P, Ditsios K, Pagonis A, Petsatodis G, Christodoulou A.
Author information
11st Orthopaedic Clinic of Aristotle’s University of Thessaloniki, G.U.H.G. Papanikolaou, Thessaloniki, Greece. [email protected]
Abstract
INTRODUCTION:
There is an increase in the number of anabolic-steroid (AS)-abusing trainees, who suffer from sports injuries, needing reconstruction surgery. Rupture of the distal biceps brachii tendon is a common injury in this group.
PURPOSE:
The study aimed to investigate the effect of AS abuse in the anatomic reconstruction of the ruptured distal biceps brachii tendon along with an immediate range-of-motion postoperative protocol.
METHODS:
We conducted an observation study of 17 male athletes suffering from distal biceps tendon ruptures. Six of them reported that they abused AS (group A), whereas the non-users comprised group B (n=11). Both groups were treated with the modified single-incision technique with two suture anchors and an immediate active range-of-motion protocol postoperatively. Follow-up was at 4, 16 and 52 weeks postoperatively, with a final follow-up at 24 months.
RESULTS:
Follow-up at 4, 16 and 52 weeks postoperatively showed a statistical significance in favour of group A for therapeutic outcomes concerning flexion, supination, pronation, Disabilities of the Arm, Shoulder and Hand (DASH) Disability Symptom Scores, Mayo Elbow Performance Elbow Scores and isometric muscle strength tests for both flexion and supination. Twenty-four months postoperatively, statistical significance in favour of group A was recorded in isometric muscle strength tests for both flexion and supination and also in DASH Disability Symptom Score.
DISCUSSION:
The results of our study suggest that there is a correlation between the effect of AS and the quicker and better recuperation and rehabilitation observed in group A. Nonetheless, these results must be interpreted with caution, and further in vivo research is needed to confirm these findings.
Copyright © 2011 Elsevier Ltd. All rights reserved.
PMID: 21481384 DOI: 10.1016/j.injury.2011.03.018
Athletes with torn attachments to their biceps recover faster after surgery if they use anabolics . Surgeons write that from Aristotle’s University of Thessaloniki in Greece in Injury.
Doctors do not know for certain whether anabolics increase the chance of muscle tearing or not. It is certain that many users need surgery after they have torn attachments or muscles, but it is not clear what exactly those injuries are causing: the anabolics or the - too heavy - training that the users have submitted to.
However, the Greeks looked at another aspect. They studied 17 male athletes, who underwent surgery between 2003 and 2009 after tearing the attachments of their biceps to their forearms. They followed those athletes for 2 years, and after 4 weeks [1st follow up], 16 weeks [2nd follow up], 1 year [3rd follow up] and 2 years [4th follow up] determined the extent of their recovery.
Of the operated athletes, 6 used anabolics, 11 did not.
The researchers presented the athletes with standardized questionnaires during each follow-up that measure the functioning of the elbow and the hand-elbow-shoulder system. Based on the answers, the researchers calculated the Mayo Elbow Performance Score [atlantaspinal.com] and the men’s Disabolitions Of The Arm, Shoulder And Hand Score [dash.iwh.on.ca] .
You can see the development of the Mayo Elbow Performance Score below. The higher that score is, the better the elbow functions. As you can see, the steroids users recover faster than the non-users.
The second figure below shows the development of the Disabolities Of The Arm, Shoulder And Hand Score . You can also deduce with some good will that steroids users recover faster than non-users.
Well, the research was small and you have to be careful when drawing conclusions, the Greeks acknowledge. But if larger studies confirm the results, then surgeons could investigate whether they could use steroids therapeutically after this type of intervention.
" For anabolic therapies, concerns regarding potential pharmaceutical toxicity and safety issues are only related to high doses, with low-dose, short-term treatment strategies (with adjuvant hepatoprotection) likely to have reduced toxic effects, deeming their clinical merit worth testing “, write the researchers. " Alternatively, application of emerging tissue engineering technologies (that facilitate the timed and controlled release of anabolic agents) could help minimize potential side effects .”
Source:
Injury. 2011 Nov; 42 (11): 1307-12.
((Study below))
Injury. 2011 Nov;42(11):1307-12. doi: 10.1016/j.injury.2011.03.018. Epub 2011 Apr 11.
The effect of steroid-abuse on anatomic reinsertion of ruptured distal biceps brachii tendon.
Pagonis T1, Givissis P, Ditsios K, Pagonis A, Petsatodis G, Christodoulou A.
Author information
11st Orthopaedic Clinic of Aristotle’s University of Thessaloniki, G.U.H.G. Papanikolaou, Thessaloniki, Greece. [email protected]
Abstract
INTRODUCTION:
There is an increase in the number of anabolic-steroid (AS)-abusing trainees, who suffer from sports injuries, needing reconstruction surgery. Rupture of the distal biceps brachii tendon is a common injury in this group.
PURPOSE:
The study aimed to investigate the effect of AS abuse in the anatomic reconstruction of the ruptured distal biceps brachii tendon along with an immediate range-of-motion postoperative protocol.
METHODS:
We conducted an observation study of 17 male athletes suffering from distal biceps tendon ruptures. Six of them reported that they abused AS (group A), whereas the non-users comprised group B (n=11). Both groups were treated with the modified single-incision technique with two suture anchors and an immediate active range-of-motion protocol postoperatively. Follow-up was at 4, 16 and 52 weeks postoperatively, with a final follow-up at 24 months.
RESULTS:
Follow-up at 4, 16 and 52 weeks postoperatively showed a statistical significance in favour of group A for therapeutic outcomes concerning flexion, supination, pronation, Disabilities of the Arm, Shoulder and Hand (DASH) Disability Symptom Scores, Mayo Elbow Performance Elbow Scores and isometric muscle strength tests for both flexion and supination. Twenty-four months postoperatively, statistical significance in favour of group A was recorded in isometric muscle strength tests for both flexion and supination and also in DASH Disability Symptom Score.
DISCUSSION:
The results of our study suggest that there is a correlation between the effect of AS and the quicker and better recuperation and rehabilitation observed in group A. Nonetheless, these results must be interpreted with caution, and further in vivo research is needed to confirm these findings.
Copyright © 2011 Elsevier Ltd. All rights reserved.
PMID: 21481384 DOI: 10.1016/j.injury.2011.03.018
