scholarly journals Patellar Tendon Rupture after Lateral Release without Predisposing Systemic Disease or Steroid Use

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
S. De Giorgi ◽  
A. Notarnicola ◽  
G. Vicenti ◽  
B. Moretti
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Systemic Disease ◽  
Relevant Literature ◽  
Recurrent Dislocation ◽  
Lateral Release ◽  
Patellar Tendon Rupture ◽  
Arthroscopic Technique ◽  
First Case ◽  
Tendon Ruptures

Arthroscopic technique for lateral release is the most widely used procedure for the correction of recurrent dislocations of the patella. In the relevant literature, several complications of lateral release are described, but the spontaneous patellar tendon rupture has never been suggested as a possible complication of this surgical procedure. Patellar tendon rupture is a rather infrequent and often unilateral lesion. Nevertheless, in case of systemic diseases (LES, rheumatoid arthritis, and chronic renal insufficiency) that can weaken collagen structures, bilateral patellar tendon ruptures are described. We report a case of a 24-year-old girl with spontaneous rupture of patellar tendon who, at the age of 16, underwent an arthroscopic lateral release for recurrent dislocation of the patella. This is the first case of described spontaneous patellar tendon rupture that occurred some years after an arthroscopic lateral release.

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

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
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.

scholarly journals Point-of-care Ultrasound Diagnosis of Bilateral Patellar Tendon Rupture

2020 ◽  
Vol 4 (1) ◽  
pp. 29-31
Author(s):  
Kathleen Ogle ◽  
Sohaib Mandoorah ◽  
Matthew Fellin ◽  
Hamid Shokoohi ◽  
William Probasco ◽  
...  
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Minor Trauma ◽  
Musculoskeletal Complaints ◽  
Emergency Physicians ◽  
Patellar Tendon Rupture ◽  
Tendon Ruptures ◽  
Orthopedic Injuries

Musculoskeletal complaints are one cornerstone of urgent issues for which orthopedic and emergency physicians provide care. Ultrasound can be a useful diagnostic tool to help identify musculoskeletal injuries. We describe a case of bilateral patellar tendon rupture that presented after minor trauma, and had the diagnosis confirmed at the bedside by point-of-care ultrasound.Physicians caring for patients with orthopedic injuries should be familiar with the use of ultrasound to diagnose tendon ruptures.

scholarly journals Spontaneous simultaneous bilateral patellar tendon rupture

2019 ◽  
Vol 12 (2) ◽  
pp. e227931 ◽  
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.

Incidence and Risk Factors of Acute Patellar Tendon Rupture, Repair Failure, and Return to Activity in the Active-Duty Military Population

2021 ◽  
pp. 036354652110269
Author(s):  
Donald R. Fredericks ◽  
Sean E. Slaven ◽  
Conor F. McCarthy ◽  
Marvin E. Dingle ◽  
Daniel I. Brooks ◽  
...  
Keyword(s):  
Risk Factors ◽  
Patellar Tendon ◽  
Tendon Rupture ◽  
Active Duty ◽  
Fixation Method ◽  
Patellar Tendon Rupture ◽  
Military Population ◽  
Us Military ◽  
The Us ◽  
Tendon Ruptures

Background: Patellar tendon ruptures have a reported incidence of 0.68 per 100,000 person-years in the general population. The epidemiology of surgically treated patellar tendon ruptures in the US military has yet to be reported, which would provide opportunity for identification of risk factors for these otherwise healthy and active patients. Purpose: To determine the incidence of patellar tendon rupture in the Military Health System (MHS) population and to analyze demographic patterns, surgical fixation methods, and rerupture rates. Study Design: Case-control study; Level of evidence, 3. Methods: We utilized the MHS Data Repository (MDR) to identity active-duty military servicemembers surgically treated for patellar tendon rupture between 2010 and 2015. Records were reviewed for demographic information, injury characteristics, fixation technique, and occurrence of rerupture. Risk factors for rupture were calculated using Poisson regression based on population counts and demographic data obtained in the MDR. Risk factors for rerupture and return to duty were analyzed via univariate analysis and multivariate regression. Results: A total of 504 operatively treated primary patellar tendon repairs in 483 patients were identified, with an overall incidence of 6 per 100,000 person-years. Mean age was 33.6 years (range, 17-54 years) and 98% of patients were male. Fixation method was 81% bone tunnels and 7% suture anchors, and 12% were unknown. Black race had a higher relative rate ratio for rupture compared with the race categories White (9.21; P < .0001) and Other (3.27; P < .0001). The rupture rate was higher in 35- to 44-year-old patients compared with those aged 18 to 24 years ( P < .0001), 25 to 34 years ( P < .0001), and 45 to 64 years ( P = .004). Return to full previous level of activity occurred in 75.8% of patients, 14.6% returned to activity with limitations, and 9.5% were medically separated. The rerupture rate was 3%. Fixation method, tobacco usage, body mass index, and race were not significant risk factors for rerupture. Conclusion: The incidence of patellar tendon rupture in the US military population is substantially higher than has been reported in the civilian population. Among military personnel, men, Black servicemembers, and those aged 35 to 44 years were at highest risk for patellar tendon rupture. Three-quarters of patients were able to return to full activity without limitations. The rerupture rate was low and unaffected by fixation method.

scholarly journals Patellar tendon rupture with underlying systemic disease

1980 ◽  
Vol 135 (4) ◽  
pp. 803-807 ◽  
Author(s):  
R Kricun ◽  
ME Kricun ◽  
GA Arangio ◽  
GS Salzman ◽  
AT Berman
Keyword(s):  
Patellar Tendon ◽  
Tendon Rupture ◽  
Systemic Disease ◽  
Patellar Tendon Rupture

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

scholarly journals Gouty Tenosynovitis of the Distal Biceps Tendon Insertion Complicated by Partial Rupture

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. NP1-NP5 ◽  
Author(s):  
Rick J. Fairhurst ◽  
Arnold M. Schwartz ◽  
Leo M. Rozmaryn
Keyword(s):  
Tendon Rupture ◽  
Biceps Tendon ◽  
Partial Rupture ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
First Case ◽  
Biceps Tendon Rupture ◽  
History Of ◽  
Tendon Ruptures ◽  
Tendon Insertion

Background: Given the appreciable prevalence of gout, gout-induced tendon ruptures in the upper extremity are extremely rare. Although these events have been reported only 5 times in the literature, all in patients with a risk factor for or history of gout, they have conspicuously never been diagnosed in the shoulder or elbow. Methods: A 45-year-old, right-hand-dominant man with a history of gout presented with pain in his right anterior elbow and weakness in his forearm after a trivial injury. Results: Here, we report the first case of gouty tenosynovitis of the distal biceps tendon insertion complicated by partial rupture, a composite diagnosis supported by both intraoperative and histological observations. Conclusions: In patients who are clinically diagnosed with biceps tendon rupture and have a history of gout, it is important to consider the possibility of a gout-related pathological manifestation causing or simulating tendon rupture.

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