Physical Therapy in Sport
Volume 10, Issue 4 , Pages 150-152, November 2009

Simultaneous bilateral Achilles tendon ruptures associated with statin medication despite regular rock climbing exercise

  • Michael R. Carmont

      Affiliations

    • The Sheffield Foot and Ankle Unit, the Northern General Hospital, Sheffield, UK
    • Corresponding Author InformationCorresponding author. Foot & Ankle Office, The Department of Orthopaedic Surgery, Sorby Building, The Northern General Hospital, Herries Road, Sheffield, S5 7AU, UK. Tel.: +44 114 2434343.
    • ,
  • Adrian M. Highland

      Affiliations

    • The Department of Radiology, the Northern General Hospital, Sheffield, UK
    • ,
  • Christopher M. Blundell

      Affiliations

    • The Sheffield Foot and Ankle Unit, the Northern General Hospital, Sheffield, UK
    • ,
  • Mark B. Davies

      Affiliations

    • The Sheffield Foot and Ankle Unit, the Northern General Hospital, Sheffield, UK

Received 13 September 2008; received in revised form 21 December 2008; accepted 20 January 2009. published online 09 March 2009.

Abstract 

Introduction

Ruptures of the Achilles tendon are common however simultaneous ruptures occur less frequently. Eccentric loading exercise programmes have been used to successfully treat Achilles tendinopathy.

Case report

We report a case of simultaneous bilateral Achilles tendon rupture in a patient predisposed to rupture due to longstanding raised serum lipoprotein and recently introduced therapeutic statin medication. The patient was also a keen rock climber and had regularly undertaken loading exercise.

Conclusion

This case illustrates that the therapeutic effect of mixed loading exercises for the Achilles tendon may not be adequate to overcome the predisposition to rupture caused by hyperlipidaemia and statin medication.

Keywords: Bilateral, Achilles tendon, Rupture, Rock climbing, Statin

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PII: S1466-853X(09)00015-7

doi:10.1016/j.ptsp.2009.01.003

Physical Therapy in Sport
Volume 10, Issue 4 , Pages 150-152, November 2009

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