Bilateral rupture of the patellar tendon without predisposing systemic disease

Gross, Garrett J.; Reck, T.; Ch, Kessler; Herzog, T.; Hofmann-Preiß, K

doi:10.1007/bf00431044

Cited by 7 publications

(6 citation statements)

References 15 publications

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“…For traumatic concurrent bilateral patellar tendon rupture without the above concomitant systemic or local risk factors, all literature (19 English and 2 German) [8,12,13,14,15,16,17,18,19,26,29,31,33,34,40,43,45,46,47,49,50] was reviewed. However, Fowler and Michell's [14] report was of a 13-year-old patient with bilateral patellar injury at which ossification of patella would not have been complete.…”

Section: Discussionmentioning

confidence: 99%

“…The mechanism is forceful quadriceps contraction on a partially flexed knee with a rela- 2, 3). For rupture near osseotendinous junction most authors used the intraosseous sutures for repair [13,15,17,18,19,26,34,43,49] while the rest used primary end-to-end opposition with protective metal wiring [12,15,16,30,40,46,47,50]. However, primary repair with tendon-to-tendon contact is difficult especially in cases near the osseotendinous junction.…”

Section: Discussionmentioning

confidence: 99%

“…Glabbeek et al [16] 1992 End-to-end + wire Bil. : 0-130°17 weeks 17/52 Groß et al [19] 1992 Drill holes+suture Preinjury 7 months -Kuo and Sonnabend [31] 1993 Suture Jogging 12 months -Greenbaum et al [18] 1994 Bone tunnel+suture Bil. : 0-120°6months -Sockart and Shravat [47] 1994 tendon to allow sutures passing and tightening.…”

Section: Discussionmentioning

confidence: 99%

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Traumatic bilateral concurrent patellar tendon rupture: an alterative fixation method

Lee

2003

Knee Surg Sports Traumatol Arthrosc

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A 37-year-old healthy Chinese man with traumatic bilateral concurrent patellar tendon rupture is presented. This is the 19th case reported in the literature. Sports-related activities are the most common cause of injury. The mechanism of rupture is forceful contraction of quadriceps muscle on a partially flexed knee. Previous surgical treatments have potential problems. Soft tissue anchors were used for restoration of the patellar continuity. Improved surgical techniques and excellent functional results are expected.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Traumatic bilateral concurrent patellar tendon rupture: an alterative fixation method

Lee

2003

Knee Surg Sports Traumatol Arthrosc

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“…In a 2004 systematic review on bilateral concomitant patellar tendon ruptures, the male-to-female patient ratio was 14.5:1, and the median age was 41 years [3]. Regarding the 45 patients included in our review, 41 (91.11%) were male, and four were female (only 8.89%) [13][14][15][16], with a mean age of 37.09 years. Comparing the 2004 data with the data we obtained, we can verify that recent literature corroborates that simultaneous bilateral patellar tendon rupture is more common in middle-aged males.…”

Section: Patient Factorsmentioning

confidence: 92%

“…Patellar tendon ruptures are often misdiagnosed [4,13] due to myriad potential causes: the clinical features are not specific to patellar tendon rupture, as previously stated; hematomas are common in acute settings and may conceal some important clinical features; and the rarity and lack of experience with this injury. In cases where patellar tendon rupture occurs bilaterally, having both knees injured may make the dislodged patellas go unnoticed, as there are no means for comparison (i.e., there is no healthy knee to assess the regular physiological position based on clinical examination alone).…”

Section: Diagnostic Processmentioning

confidence: 99%

Simultaneous Bilateral Patellar Tendon Rupture: A Systematic Review

Fernandes,

Rufino,

Hamal

et al. 2023

Cureus

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The extensor mechanism of the knee can be damaged due to various modes of injury, which, in most cases, will require urgent surgical intervention for repair. Single patellar tendon ruptures are uncommon, but simultaneous bilateral events are even rarer and have been scarcely reviewed in English literature. Research in this area is mainly confined to case series, with some literature reviews but no evidence of more substantial analysis. Therefore, this systematic review was done to analyse the existing literature on bilateral simultaneous patellar tendon ruptures and propose a systematic and standardised approach to diagnosing and managing these injuries.A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The search terms included 'bilateral patellar tendon rupture', 'bilateral', 'patellar', 'tendon' and 'rupture'. Three independent reviewers conducted searches in PubMed, OvidSP for Medline, Embase and the Cochrane Library using the same search strategy. The eligibility criteria included studies on bilateral concomitant patellar tendon rupture published in English. Bilateral simultaneous patellar tendon ruptures of traumatic and atraumatic origin in human patients were included. The study types comprised case reports and literature reviews.The key limitation of this study was the low number of patients covered by the eligible literature. Patellar tendon ruptures are a rare and scarcely documented injury, and there is a need for studies with a high level of evidence, especially regarding surgical treatment choice and methods, as well as post-operative management, which could potentially lead to improved outcomes in the management of this injury.

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

Kellersmann

Blattert

Weckbach

2005

Arch Orthop Trauma Surg

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Simultaneous bilateral patella tendon ruptures are very rare injuries of the knee extensor complex often associated with systemic disorders such as lupus erythematosus or rheumatoid arthritis. We describe the case of a 34-year-old man without concomitant systemic disease or steroid use and provide the most comprehensive review of the German and English literature. Furthermore, we discuss the predisposing factors and causal mechanisms as well as current diagnostic procedures and treatment options. In the literature review, only a few patients without systemic disorder or steroid medication present with potential predisposing factors that may be responsible for degenerative changes of the patella tendon, weakening its stability. In addition, in most of these cases, it remains difficult to explain the bilateral and simultaneous nature of this injury.

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Bilateral rupture of the patellar tendon without predisposing systemic disease

Cited by 7 publications

References 15 publications

Traumatic bilateral concurrent patellar tendon rupture: an alterative fixation method

Traumatic bilateral concurrent patellar tendon rupture: an alterative fixation method

Simultaneous Bilateral Patellar Tendon Rupture: A Systematic Review

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

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