title: Simultaneous bilateral Achilles tendon ruptures associated with statin medication despite regular rock climbing exercise.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: The Sheffield Foot and Ankle Unit, the Northern General Hospital, Sheffield, UK. mcarmont@hotmail.com
authors.forename: Michael R
authors.initials: MR
authors.lastname: Carmont
authors.forename: Adrian M
authors.initials: AM
authors.lastname: Highland
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Blundell
authors.forename: Mark B
authors.initials: MB
authors.lastname: Davies
mesh_terms: D000125:Achilles Tendon / Q000293:injuries* / Q000503:physiopathology; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000009:adverse effects*; D006949:Hyperlipidemias / Q000150:complications / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D012421:Rupture / Q000139:chemically induced* / Q000601:surgery; D016474:Weight-Bearing / Q000502:physiology*
chemical_list: D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors