Spontaneous simultaneous bilateral patellar tendon rupture

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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Bilateral patellar tendon rupture without predisposing systemic disease or steroid use: a case report and review of the literature

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-004-0782-2 ◽

2005 ◽

Vol 125 (2) ◽

pp. 127-133 ◽

Cited By ~ 39

Author(s):

Richard Kellersmann ◽

Thomas R. Blattert ◽

Arnulf Weckbach

Keyword(s):

Case Report ◽

Patellar Tendon ◽

Tendon Rupture ◽

Systemic Disease ◽

Review Of The Literature ◽

Patellar Tendon Rupture ◽

Steroid Use

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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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A Rare Case of Bilateral Patellar Tendon Ruptures: A Case Report and Literature Review

Case Reports in Orthopedics ◽

10.1155/2016/6912968 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Nadim Tarazi ◽

Padhraig O’loughlin ◽

Amin Amin ◽

Peter Keogh

Keyword(s):

Literature Review ◽

Patellar Tendon ◽

Tendon Rupture ◽

Primary Repair ◽

Case Reports ◽

Systemic Disease ◽

Minimal Trauma ◽

History Of ◽

Tendon Ruptures ◽

Early Primary

Bilateral patellar tendon ruptures are rare. The majority of case reports describing bilateral patellar tendon ruptures have occurred in patients with predisposing factors to tendinopathy. We describe a case of bilateral patellar tendon rupture sustained following minimal trauma by a patient with no systemic disease or history of steroid use. Due to the rarity of this injury, clinical suspicion is low. It is reported that 38% of patellar tendon ruptures are misdiagnosed initially. Therefore careful history taking and physical examination is integral in ensuring a diagnosis is achieved for early primary repair. We discuss the aetiology of spontaneous tendon rupture and report a literature review of bilateral patellar tendon ruptures.

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Bilateral patella tendon rupture in young female on oral steroid: A case report

10.25259/jassm_33_2020 ◽

2020 ◽

Vol 0 ◽

pp. 1-4

Author(s):

Vinay K. Pandey ◽

Kapil Kulshreshtha

Keyword(s):

Tendon Rupture ◽

Surgical Repair ◽

Case Reports ◽

Young Female ◽

Tendon Injuries ◽

Oral Steroid ◽

Patella Tendon ◽

History Of ◽

Patella Tendon Rupture ◽

Intensive Rehabilitation

Rupture of bilateral patella tendon has been discussed in case reports. We present a case of young female with bilateral patella tendon rupture with a history of oral steroid intake for 10 weeks before injury. She was able to join office job 6 months after surgical repair and intensive rehabilitation. Despite unclear pathophysiology, the use of steroids has been associated with tendon injuries.

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Surgical Repair of a Neglected Patellar Tendon Rupture

Orthopedics and Sports Medicine Open Access Journal ◽

10.32474/osmoaj.2020.03.000163 ◽

2020 ◽

Vol 3 (3) ◽

Author(s):

Shaheen Jadidi

Keyword(s):

Patellar Tendon ◽

Tendon Rupture ◽

Surgical Repair ◽

Patellar Tendon Rupture ◽

Neglected Patellar Tendon Rupture

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Successful management of bilateral patellar tendon rupture in a dog

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.3415/vcot-07-05-0053 ◽

2008 ◽

Vol 21 (02) ◽

pp. 181-184 ◽

Cited By ~ 10

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.

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