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Case Reports   |    
Intramuscular Anabolic Steroid Injection Leading to Life-Threatening Clostridial MyonecrosisA Case Report
Matthew D. Driscoll, MD1; Anisha Arora, MD1; Michael L. Brennan, MD1
1 Department of Orthopaedic Surgery (M.D.D. and M.LB.) and Department of Internal Medicine (A.A.), Scott & White Memorial Hospital, 2401 South 31st Street, Temple, TX 76508. E-mail address for M.D. Driscoll: mdriscoll@swmail.sw.org
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Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

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Investigation performed at Scott & White Memorial Hospital, Temple, Texas

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Aug 17;93(16):e92 1-3. doi: 10.2106/JBJS.K.00125
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Extract

Use of androgenic anabolic steroids continues to be common in spite of widespread awareness of associated adverse effects and ethical concerns, with self-reported rates of anabolic steroid abuse as high as 15% in competitive adult athletes1. Overall, the highest rate of steroid abuse is suspected to be among recreational bodybuilders, with the primary goal of enhancing cosmetic appearance rather than improving performance2,3.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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