{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T22:43:40Z","timestamp":1785451420391,"version":"3.56.0"},"reference-count":18,"publisher":"National Athletic Trainers' Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:sec>\n          <jats:title>Objective:<\/jats:title>\n          <jats:p>Rhabdomyolysis (breakdown of skeletal muscle tissue) may be caused by mechanical, physical, chemical, or biological factors. We present the unique case of a bodybuilder who developed localized rhabdomyolysis of the deltoid muscle after injection of steroids into the shoulder region.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Background:<\/jats:title>\n          <jats:p>A 39-year-old amateur bodybuilder presented to the emergency department with excruciating pain and inability to move his right shoulder after injecting stanozolol, an anabolic-androgenic steroid (AAS), into his right deltoid muscle on the same day. On physical examination, the right deltoid muscle was swollen and tense and the surrounding skin red, tender, and warm. He had no fluctuation or systemic fever and no sensory or motor deficit. His distal pulsations were distinct. Laboratory test results suggested massive rhabdomyolysis. The major magnetic resonance imaging finding was diffuse hyperintensity signals on T2-weighted images of the deltoid muscle, which was consistent with edema.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Differential Diagnosis:<\/jats:title>\n          <jats:p>Polymyositis and dermatomyositis, mild injury, infectious myositis without phlegmon or abscess formation, radiation therapy, subacute denervation, compartment syndrome, early myositis ossificans, rhabdomyolysis, and sickle cell crisis.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Treatment:<\/jats:title>\n          <jats:p>The patient was treated with intravenous fluid replacement and sodium bicarbonate to alkalinize the urine. Four days after admission, his pain had decreased, he had regained range of motion, and his renal function remained unaffected.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Uniqueness:<\/jats:title>\n          <jats:p>Anabolic-androgenic steroid use is associated with various side effects that are generally systemic and dose related. We could not find reports of localized side effects of AAS use, as this case presented, elsewhere in the English-language literature.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusions:<\/jats:title>\n          <jats:p>\u201cDoping\u201d among amateur athletes occurs frequently. It can cause acute and chronic health problems, most of which are systemic. This is the first description of localized rhabdomyolysis in the area of an AAS injection.<\/jats:p>\n        <\/jats:sec>","DOI":"10.4085\/1062-6050-44.1.98","type":"journal-article","created":{"date-parts":[[2009,12,30]],"date-time":"2009-12-30T15:36:44Z","timestamp":1262187404000},"page":"98-100","source":"Crossref","is-referenced-by-count":35,"title":["Rhabdomyolysis of the Deltoid Muscle in a Bodybuilder Using Anabolic-Androgenic Steroids: A Case Report"],"prefix":"10.4085","volume":"44","author":[{"given":"Uri","family":"Farkash","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nogah","family":"Shabshin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moshe","family":"Pritsch (Perry)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"key":"i1062-6050-44-1-98-Bergman1","series-title":"Clin Orthop Relat Res","first-page":"169","article-title":"The use and abuse of anabolic steroids in Olympic-caliber athletes.","volume":"198","author":"Bergman, R.","year":"1985","unstructured":"Bergman, R. and R. E.Leach. The use and abuse of anabolic steroids in Olympic-caliber athletes.Clin Orthop Relat Res1985. 198:169\u2013172."},{"issue":"35","key":"i1062-6050-44-1-98-Spadari1","series-title":"Presse Med","first-page":"1733","article-title":"Doping in sports: cases reported to the Poison Control Center of Marseille from 1992 to 2000 [in French].","volume":"30","author":"Spadari, M.","year":"2001","unstructured":"Spadari, M., C.Coja, F.Rodor, et al. Doping in sports: cases reported to the Poison Control Center of Marseille from 1992 to 2000 [in French].Presse Med2001. 30 (35):1733\u20131739."},{"issue":"9","key":"i1062-6050-44-1-98-Shahidi1","series-title":"Clin Ther","first-page":"1355","article-title":"A review of the chemistry, biological action, and clinical applications of anabolic-androgenic steroids.","volume":"23","author":"Shahidi, N. T.","year":"2001","unstructured":"Shahidi, N. T.\n          \n          A review of the chemistry, biological action, and clinical applications of anabolic-androgenic steroids.\n          Clin Ther\n          2001. 23 (9):1355\u20131390."},{"issue":"5","key":"i1062-6050-44-1-98-Kutscher1","series-title":"Sports Med","first-page":"285","article-title":"Anabolic steroids: a review for the clinician.","volume":"32","author":"Kutscher, E. C.","year":"2002","unstructured":"Kutscher, E. C., B. C.Lund, and P. J.Perry. Anabolic steroids: a review for the clinician.Sports Med2002. 32 (5):285\u2013296."},{"issue":"736","key":"i1062-6050-44-1-98-Lamminen1","series-title":"Br J Radiol","first-page":"326","article-title":"Acute rhabdomyolysis: evaluation with magnetic resonance imaging compared with computed tomography and ultrasonography.","volume":"62","author":"Lamminen, A. E.","year":"1989","unstructured":"Lamminen, A. E., P. E.Hekali, E.Tiula, I.Suramo, and O. A.Korhola. 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Rhabdomyolysis after exercise.Postgrad Med1993. 94 (6):128\u2013132."},{"issue":"1","key":"i1062-6050-44-1-98-Bolgiano1","series-title":"J Sports Med Phys Fitness","first-page":"76","article-title":"Acute rhabdomyolysis due to body building exercise: report of a case.","volume":"34","author":"Bolgiano, E. B.","year":"1994","unstructured":"Bolgiano, E. B.\n          \n          Acute rhabdomyolysis due to body building exercise: report of a case.\n          J Sports Med Phys Fitness\n          1994. 34 (1):76\u201378."},{"issue":"2","key":"i1062-6050-44-1-98-Goubier1","series-title":"Br J Sports Med","first-page":"150","article-title":"Exertion induced rhabdomyolysis of the long head of the triceps.","volume":"36","author":"Goubier, J. N.","year":"2002","unstructured":"Goubier, J. N., O. S.Hoffman, and C.Oberlin. Exertion induced rhabdomyolysis of the long head of the triceps.Br J Sports Med2002. 36 (2):150\u2013151."},{"issue":"2","key":"i1062-6050-44-1-98-Oza1","series-title":"Clin Nucl Med","first-page":"126","article-title":"Rhabdomyolysis of bilateral teres major muscles.","volume":"28","author":"Oza, U. D.","year":"2003","unstructured":"Oza, U. D. and E.Oates. Rhabdomyolysis of bilateral teres major muscles.Clin Nucl Med2003. 28 (2):126\u2013127."},{"issue":"2","key":"i1062-6050-44-1-98-Moratalla1","series-title":"Eur J Radiol","first-page":"311","article-title":"Importance of MRI in the diagnosis and treatment of rhabdomyolysis.","volume":"65","author":"Moratalla, M. B.","year":"2008","unstructured":"Moratalla, M. B., P.Braun, and G. M.Fornas. 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Acute compartment syndrome of the triceps and deltoid.J Orthop Trauma1999. 13 (3):225\u2013227."}],"container-title":["Journal of Athletic Training"],"original-title":[],"link":[{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/44\/1\/article-p98.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/44\/1\/98\/1454961\/1062-6050-44_1_98.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/44\/1\/article-p98.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/44\/1\/article-p98.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:38:03Z","timestamp":1749688683000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/44\/1\/article-p98.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,1]]},"references-count":18,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-44.1.98","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2009,1]]}}}