Better knee function after surgical repair of acute quadriceps tendon rupture in comparison to acute patellar tendon rupture

<p>Quadriceps tendon rupture is the rarest injury with an incidence of 1.37/1,00,000/year. A patellar fracture is the most common injury associated with extensor mechanism lag, but it is rarely found to have quadriceps rupture rather than patellar tendon rupture. Normally when patella fracture occurs the force is disseminated at the bone level rather than at the muscular level. In this case, the force has disseminated at both muscle and bone leading to fracture of patella and quadriceps tendon rupture. Here we report a case of patellar fracture along with quadriceps tendon rupture.<strong></strong></p>

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Quadriceps Tendon Rupture and Contralateral Patella Tendon Avulsion Post Primary Bilateral Total Knee Arthroplasty: A Case Report

Reconstructive Review ◽

10.15438/rr.6.2.145 ◽

2016 ◽

Vol 6 (2) ◽

Author(s):

Gaurav Sharma ◽

Vaibhav Bagaria ◽

Shyam Nadange ◽

Chaitanya Waghchoure ◽

Smit Shah ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Patellar Tendon ◽

Knee Replacement ◽

Knee Arthroplasty ◽

Tendon Rupture ◽

Quadriceps Tendon ◽

Quadriceps Tendon Rupture ◽

Patellar Tendon Rupture ◽

Patella Tendon ◽

Total Knee

Background: Extensor mechanism failure secondary to knee replacement could be due to tibial tubercle avulsion, Patellar tendon rupture, patellar fracture or quadriceps tendon rupture. An incidence of Patella tendon rupture of 0.17% and Quadriceps tendon rupture of around 0.1% has been reported after Total knee arthroplasty. These are considered a devastating complication that substantially affects the clinical results and are challenging situations to treat with surgery being the mainstay of the treatment.Case Description: We report here an interesting case of a patellar tendon rupture of one knee and Quadriceps tendon rupture of the contralateral knee following simultaneous bilateral knee replacement in a case of inflammatory arthritis patient. End to end repair for Quadriceps tear and augmentation with Autologous Hamstring tendon graft was done for Patella tendon rupture.OUTCOME: Patient was followed up for a period of 1 year and there was no Extension lag with a flexion of 100 degrees in both the knees.DISCUSSION: The key learning points and important aspects of diagnosing these injuries early and the management techniques are described in this unique case of bilateral extensor mechanism disruption following knee replacements.

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Simultaneous rupture of the quadriceps tendon with contralateral patellar tendon rupture: an unusual case and a review of the literature

European Journal of Orthopaedic Surgery & Traumatology ◽

10.1007/s00590-007-0251-z ◽

2007 ◽

Vol 18 (1) ◽

pp. 69-71 ◽

Cited By ~ 1

Author(s):

A. Jalgaonkar ◽

A. Rafee ◽

O. Haddo ◽

S. Sarkar

Keyword(s):

Patellar Tendon ◽

Unusual Case ◽

Tendon Rupture ◽

Quadriceps Tendon ◽

Review Of The Literature ◽

Patellar Tendon Rupture ◽

Simultaneous Rupture

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Asymptomatic Bilateral Patella Alta After Surgical Repair of Traumatic, Sequential Bilateral Patellar Tendon Rupture

JBJS Case Connector ◽

10.2106/jbjs.cc.k.00008 ◽

2011 ◽

Vol 1 (2) ◽

pp. e8 ◽

Cited By ~ 1

Author(s):

Gregory P. Kolovich ◽

Michael J. Griesser ◽

Craig Davis ◽

Jeffrey F. Granger

Keyword(s):

Patellar Tendon ◽

Tendon Rupture ◽

Surgical Repair ◽

Patella Alta ◽

Patellar Tendon Rupture

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Successful Surgical Repair of Acute Quadriceps Tendon Rupture Utilizing Cortical Button Fixation: A Case Report

American Journal of Case Reports ◽

10.12659/ajcr.934238 ◽

2021 ◽

Vol 22 ◽

Author(s):

Andrew S. Bae ◽

Devin W. Collins ◽

Achraf H. Jardaly ◽

Patrick J. Fernicola

Keyword(s):

Case Report ◽

Tendon Rupture ◽

Surgical Repair ◽

Quadriceps Tendon ◽

Quadriceps Tendon Rupture ◽

Cortical Button

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Sehnenprobleme rund um das Kniegelenk

Swiss Sports & Exercise Medicine ◽

10.34045/ssem/2015/24 ◽

2015 ◽

Vol 63 (4) ◽

Keyword(s):

Tendon Rupture ◽

Quadriceps Tendon ◽

Tendon Injuries ◽

Iliotibial Band ◽

Popliteus Tendon ◽

Hamstring Tendons ◽

Quadriceps Tendon Rupture ◽

Patellar Tendon Rupture ◽

A Minor ◽

Diagnostics And Therapy

The knee joint is affected in up to 30% of all sport injuries. A minor precentage of it are tendon injuries. For acute tendon injuries, quadriceps tendon rupture and patellar tendon rupture are most frequent. Beside that, ruptures of distal hamstring tendons or the popliteus tendon may occur. For chronic tendon injuries in sports, the jumpers knee and the runners knee are most frequent. Also insertional enthesopathy of the quadriceps tendon, of the iliotibial band, of the hamstring tendons may occur, furthermore a tendinitis or bursitis at the pes anserinus. These injuries are explained in this article focussing on symptoms, diagnostics and therapy.

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Spontaneous simultaneous bilateral patellar tendon rupture

BMJ Case Reports ◽

10.1136/bcr-2018-227931 ◽

2019 ◽

Vol 12 (2) ◽

pp. e227931 ◽

Cited By ~ 1

Author(s):

James Foley ◽

Rawan Elhelali ◽

Dineo Moiloa

Keyword(s):

Patellar Tendon ◽

Tendon Rupture ◽

Surgical Repair ◽

Systemic Disease ◽

Patellar Tendinopathy ◽

Patellar Tendon Rupture ◽

Post Injury ◽

History Of ◽

Baseline Physical Activity ◽

Intensive Rehabilitation

Bilateral patellar tendon rupture is an extremely rare occurrence, especially in otherwise healthy individuals without systemic disease. The authors report the case of a man who presented with simultaneous, spontaneous bilateral rupture of his patellar tendons. He had a history of unilateral patellar tendinopathy but no other predisposing risk factors such as steroid or fluoroquinolone use. He underwent surgical repair and following intensive rehabilitation, he returned to baseline physical activity 6 months post injury.

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