scholarly journals A Rare Case of Heterotopic Ossification of the Patella Tendon in an Adolescent Presenting with Tendon Rupture

Joints ◽  
2020 ◽  
Author(s):  
Sam Supreeth ◽  
Aliya Al-Barwani ◽  
Ismail Al Habsi ◽  
Suwailim Al Ghanami ◽  
Zahra Al Abri ◽  
...  
Keyword(s):  
Heterotopic Ossification ◽  
Patellar Tendon ◽  
Rare Case ◽  
Tendon Rupture ◽  
Tendon Repair ◽  
Complete Recovery ◽  
Patellar Tendon Rupture ◽  
Patella Tendon ◽  
Magnetic Resonance Scan

AbstractHeterotopic ossification is the abnormal formation of mature, lamellar bone in nonosseous tissue such as tendons, ligaments, muscles, and soft tissue. We discuss a rare case of a young adolescent with patellar tendon rupture postheterotopic ossification. A 13-year-old male presented to us with knee pain and inability to extend for 6 weeks following trivial trauma. Preliminary radiological investigations revealed a high riding patella with ossification in the patella tendon. The magnetic resonance scan confirmed the same with patellar tendon disruption and heterogeneous ossification. He underwent surgery with patella tendon repair, augmentation with autograft, and had complete recovery at 6 months' follow-up.

scholarly journals A rare case of patellar fracture with quadriceps tendon rupture

2021 ◽  
Vol 7 (2) ◽  
pp. 406
Author(s):  
K. N. Subramanian ◽  
Ganesan G. Ram ◽  
Muthukumar S. ◽  
Mathiyazhagan Babu
Keyword(s):  
Patellar Tendon ◽  
Rare Case ◽  
Tendon Rupture ◽  
Quadriceps Tendon ◽  
Extensor Mechanism ◽  
Patella Fracture ◽  
Patellar Fracture ◽  
Quadriceps Tendon Rupture ◽  
Patellar Tendon Rupture ◽  
Bone Level

<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>

scholarly journals Patellar Tendon Repair With Suture Tape Augmentation for Proximal Patellar Tendon Rupture

2022 ◽  
Author(s):  
Hirotaka Nakashima ◽  
Yasuhiro Takahara ◽  
Yoichiro Uchida ◽  
Hisayoshi Kato ◽  
Satoru Itani ◽  
...  
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Tendon Repair ◽  
Patellar Tendon Rupture ◽  
Suture Tape

scholarly journals Acute Traumatic Patellar Tendon Rupture at the Tibial Tuberosity Attachment without Avulsion Fracture

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Shuichi Miyamoto ◽  
Makoto Otsuka ◽  
Fumio Hasue ◽  
Takayuki Fujiyoshi ◽  
Koushirou Kamiya ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Surgical Treatment ◽  
Patellar Tendon ◽  
Tendon Rupture ◽  
Avulsion Fracture ◽  
Tibial Tuberosity ◽  
Traumatic Rupture ◽  
Patellar Tendon Rupture ◽  
Steel Wires

Patellar tendon rupture in children is especially rare. The fact that the area of traumatic rupture has wide variations makes surgical treatment difficult. We present an 11-year-old boy with acute traumatic patellar tendon rupture at the tibial tuberosity attachment without avulsion fracture. Primary end-to-end repair and reinforcement using 1.5 mm stainless steel wires as a surgical strategy were undertaken. Early range of motion began with a functional knee brace and the reinforced stainless wire was removed 3 months after surgery. Knee function at the final follow-up was satisfactory. We suggest that this strategy may provide a useful option for surgical treatment.

scholarly journals A Rare Case of Bilateral Patellar Tendon Rupture Associated with Anabolic Androgenic Steroids Use

2017 ◽  
Vol 06 (03) ◽  
Author(s):  
Barbara P Rosa ◽  
Andre S Barros ◽  
Samir Karmali ◽  
Joao F Almeida ◽  
Nuno P Coutinho
Keyword(s):  
Patellar Tendon ◽  
Rare Case ◽  
Tendon Rupture ◽  
Anabolic Androgenic Steroids ◽  
Patellar Tendon Rupture ◽  
Androgenic Steroids

Successful management of bilateral patellar tendon rupture in a dog

2008 ◽  
Vol 21 (02) ◽  
pp. 181-184 ◽  
Author(s):  
R. Shahar ◽  
R. Joseph ◽  
J. Milgram ◽  
A. Shipov
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Steel Wire ◽  
Weight Bearing ◽  
Tendon Repair ◽  
Type I ◽  
Patellar Tendon Rupture ◽  
Radiographic Findings ◽  
Excellent Outcome ◽  
History Of

SummaryA seven-year-old, 41 kg, intact, cross breed dog, was presented with a history of bilateral hind limb lameness after falling from a height of 1 m. Clinical and radiographic findings were consistent with bilateral patellar tendon rupture. Surgical repair was performed bilaterally. The tendons were sutured primarily, and an internal splint of nylon leader was added. Good apposition of the severed tendon ends had been achieved intraoperatively; however, post operative radiographs showed supra-trochlear displacement of both patellae. The casts used to immobilize the stifle joints slipped distally and three days post operatively the tendon repair had broken down, bilaterally. Revision surgery was undertaken and the tendons were re-sutured. Nylon leader was placed through holes that had been drilled in the patellae and tibiae. The stifle joints were immobilized with type I external skeletal fixators (ESFs). Both freeform polymethylmethacrylate (PMMA) connecting bars were found to be broken at the level of the stifle joints two days later, without any disruption of the primary tendon repair. Each connecting bar was replaced with two connecting bars of PMMA reinforced with 3 mm steel wire. The dog was fully weight-bearing with a reduced range of motion in flexion immediately after removal of the ESFs at six weeks and was still sound 18 months post-operatively. Primary tendon repair in combination with adequate immobilization allowed for an excellent outcome in a complicated bilateral pathology.

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

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.

Treatment of Chronic Patellar Tendon Rupture with Hamstrings Tendon Autograft

2019 ◽  
Vol 33 (08) ◽  
pp. 792-797
Author(s):  
Panagiotis Valianatos ◽  
Evgenia Papadakou ◽  
Dimitrios Erginoussakis ◽  
Dimitrios Kampras ◽  
Nikitas Schizas ◽  
...  
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Lysholm Score ◽  
Anatomic Reconstruction ◽  
Patellar Tendon Rupture ◽  
Effective Treatment Option ◽  
Tendon Reconstruction ◽  
Hamstrings Tendon ◽  
Tendon Autograft

AbstractWe describe a new simple reconstruction for neglected chronic ruptures of patellar tendon using ipsilateral hamstrings tendon autograft. This has been validated in thirteen patients with mean follow up six years resulting in favorable outcome. Thirteen patients with mean age 58.2 years (range 30–64 years) presented with chronic patellar tendon rupture. They all underwent patellar tendon reconstruction using ipsilateral hamstrings tendon autograft. The average time from injury was 10 months (range 3–20 months). The cause of rupture was fall from height or after TKA and the preoperative Lysholm score was 65 (range 50–80). Postoperatively with a mean follow up of six years (range 5–7 years), all patients had a stable knee with mean flexion of 123°, extension lag 0°, and Insall-Salvati index 1.2. Quadriceps power was regained in 8 cases to 5/5 and in 5 cases to 4/5. No complications were inspected. The postoperative Lysholm score was 93 (range 89–95). Patellar tendon reconstruction using ipsilateral hamstrings as free autograft, consists an effective treatment option for chronic neglected patellar tendon ruptures. Our technique has favorable clinical outcome, complications are not expected, and consist a simple and anatomic reconstruction with a powerful graft, without the requirement for allograft or implants.

scholarly journals Open knee dislocation with a patellar tendon rupture: Result of staged surgical repair

2019 ◽  
Vol 7 ◽  
pp. 2050313X1882310
Author(s):  
Tsuneari Takahashi ◽  
Tomohiro Matsumura ◽  
Kazuaki Ishihara ◽  
Shuhei Hiyama ◽  
Katsushi Takeshita
Keyword(s):  
Posterior Cruciate Ligament ◽  
Surgical Management ◽  
Patellar Tendon ◽  
Tendon Rupture ◽  
Cruciate Ligament ◽  
Knee Dislocation ◽  
Patellar Tendon Rupture ◽  
Collateral Ligament ◽  
Range Of Movement ◽  
Multiligament Injury

Knee dislocation with concomitant multiligament injury is a rare and devastating injury. We report the successful repair of a rare case of open knee dislocation with concomitant multiligament injury and patellar tendon rupture of an 18-year-old male due to a motorcycle accident. The patient presented with an open wound running parallel to the knee joint line and patellar tendon rupture with full exposure of the cartilage of the distal femur. Staged surgical management including the application of a ring-type external fixator with a hinged joint, lateral collateral ligament repair, medial collateral ligament reconstruction using autogenous hamstring tendon, and joint release was performed. Range of movement was recovered to 0 degrees of knee extension and 80 degrees of knee flexion, and extension lag was negative. The Lysholm score of the patient was recovered to 92. The patient was able to return to work in the construction field 2 years after sustaining the injury. The patient had no complaint of pain and was able to resume construction work, even though reconstruction of the anterior cruciate ligament and posterior cruciate ligament was not performed. The application of a hinged ring-type external fixation device might play a key role in early range of movement restoration and to maintain the reduced position and acceptable recovery of the posterior cruciate ligament injury without the need for reconstructive surgery. This report is the first to describe the safety and effectiveness of staged surgical management for the repair of open knee dislocation with concomitant multiligament injury and patellar tendon rupture. However, further studies with longer follow-up periods will be needed to observe the development of osteoarthritis or weakness of the knee. Staged surgical management is a safe and effective procedure for repairing an open knee dislocation with concomitant multiligament injury and patellar tendon rupture.

Acute patellar tendon rupture

2000 ◽  
Vol 16 (8) ◽  
pp. 869-870 ◽  
Author(s):  
Bernard C. Ong ◽  
Orrin Sherman
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Patellar Tendon Rupture
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