Bilateral simultaneous rupture of the quadriceps tendon in a patient with psoriasis: a case report and review of the literature

Senevirathna, Shanaka; Radha, Sarkell; Rajeev, Aysha

doi:10.1186/1752-1947-5-331

Cited by 12 publications

(12 citation statements)

References 16 publications

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“…Senevirathna et al 18 reported on a 57-year-old man with a history of psoriasis who was treated with topical steroids and who sustained a bilateral quadriceps tendon rupture following a fall down a flight of stairs. The patient underwent surgical repair with patellar drill holes and suture fixation.…”

Section: The Authors Concluded That Bilateral Ruptures Tend To Occurmentioning

confidence: 99%

“…5,6 Most of the studies describing these injuries are individual case reports. [7][8][9][10][11][12][13][14][15][16][17][18][19][20] Although not nearly as common, there have been recent case reports describing bilateral quadriceps ruptures in healthy individuals without any predisposing risk factors. [21][22][23][24][25][26] Regardless of medical history, nearly all cases (especially in recent literature) involved patients who underwent surgical repair.…”

Section: Introductionmentioning

confidence: 99%

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Functional Results Following Surgical Repair of Simultaneous Bilateral Quadriceps Tendon Ruptures

Chang

Dodson

Tjoumakaris

et al. 2014

The Physician and Sportsmedicine

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Section: The Authors Concluded That Bilateral Ruptures Tend To Occurmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Functional Results Following Surgical Repair of Simultaneous Bilateral Quadriceps Tendon Ruptures

Chang

Dodson

Tjoumakaris

et al. 2014

The Physician and Sportsmedicine

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“…Treatment: surgical repair remains the treatment of choice and involves open repair and reconstruction. Prompt repair is recommended to avoid complications such as retraction and quadriceps muscle atrophy [ 12 ]. Employed techniques in repair of tendon include end to end suture, transosseous suture and tenodesis with suture anchors.…”

Section: Discussionmentioning

confidence: 99%

“…This involved making 3 holes in the patella, passing Ethibond sutures through the bone tunnel and suturing the tendon to the patellar bone using the Krackow suture technique ( Figure 4 ). Immobilization and rehabilitation post-surgical repair have shown good outcomes [ 12 ]. Post-surgery, the knees are immobilized in extension for six weeks [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous bilateral quadriceps tendon rupture: a case report

Onuoha¹,

Ajiboye²,

Kumar³

2020

Pan Afr Med J

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Quadriceps tendon rupture is an uncommon injury and mostly occurs among middle aged individuals that are involved in sports such as running or jumping. Spontaneous bilateral quadriceps tendon rupture is a rarer injury, however, can be debilitating. Patients with such injuries usually present with history of minor trauma, swelling and inability to actively extend the knee. Its occurrence secondary to minor trauma is mostly associated with chronic diseases and long-term use of certain medications. Occurrence of simultaneous bilateral quadriceps tendon rupture in the absence of trauma in a healthy patient with no known medical condition is yet to be reported and therefore requires a high index of suspicion for early diagnosis and effective management to avoid complications. The aim of this case report is to create awareness of the spontaneous occurrence of this injury in the absence of the reported risk factors. We report the unusual case of a 60-year old healthy man who presented with a spontaneous simultaneous bilateral quadriceps' tendon rupture in the absence of trauma and no medical risk factors. We report the unusual case of a 60-year old healthy man who presented with a spontaneous simultaneous bilateral quadriceps tendon rupture in the absence of trauma and no medical risk factors. Consent was taken from him to be used as a case report being a rare case. The man had full recovery after surgery and physiotherapy and was discharged home. Spontaneous bilateral quadriceps tendon rupture is a rare occurrence. The index case report is important as there was no history of trauma and it was bilateral.

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“…1,2 Most of the studies describing these injuries are individual case reports. [3][4][5][6] There are numerous surgical techniques described for treating acute quadriceps tendon rupture. [7][8][9][10] The most common techniques are the suture anchor and the transosseous patellar suture technique.…”

mentioning

confidence: 99%

Isokinetic Evaluation of Knee Strength and Endurance in Hemodialysis Patients Treated with the Transpatellar Tunnel Technique for Bilateral Spontaneous Quadriceps Tendon Ruptures

et al. 2020

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There are numerous surgical techniques described for treating acute quadriceps tendon rupture. We aim to evaluate the strength of the quadriceps tendon using isokinetic tests in hemodialysis patients treated with the transpatellar tunnel technique for bilateral spontaneous quadriceps tendon ruptures. Additionally, functional and clinical results were investigated and compared with hemodialysis patients without a history of quadriceps tendon rupture. We retrospectively reviewed hemodialysis patients diagnosed with quadriceps tendon rupture who were operated between 2005 and 2015 at our institution. Eight patients with simultaneous bilateral quadriceps tendon rupture treated with the transpatellar tunnel technique (group 1; the operated group) and 10 patients with chronic renal failure without a history of quadriceps tendon rupture who underwent hemodialysis (group 2; the control group) were included in this study. The active range of motion (ROM), Lysholm and Tegner scores, knee flexor and extensor muscle strengths, and endurances were measured using an isokinetic dynamometer for each group and compared between the groups. The mean age was 44.6 and 40.2 years in groups 1 and 2, respectively. The mean follow-up was 58.6 (range, 24–140) months in group 1. The active ROM was 113.7 ± 9.7 degrees in group 1 and 130 ± 4.8 degrees in group 2 (p < 0.001). The mean Tegner score was not significantly different between the groups (1.87 ± 1.1 in group 1 vs. 2.6 ± 0.9 in group 2; p = 0.212). However, the Lysholm score was significantly higher in group 2 (93.2 ± 7.3 vs. 76.7 ± 13.8; p = 0.009). The mean extensor strength and endurance were significantly higher in group 2 than in group 1. The mean flexor strength and endurance were higher in group 1 than in group 2, but no significant difference was found. Although using the transpatellar tunnel technique for bilateral spontaneous quadriceps tendon ruptures in hemodialysis patients can provide acceptable functional results, the ROM and strength particularly in extensor muscle might be significantly lower than control group. Level of evidence is Level III therapeutic case–control study.

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Bilateral simultaneous rupture of the quadriceps tendon in a patient with psoriasis: a case report and review of the literature

Cited by 12 publications

References 16 publications

Functional Results Following Surgical Repair of Simultaneous Bilateral Quadriceps Tendon Ruptures

Functional Results Following Surgical Repair of Simultaneous Bilateral Quadriceps Tendon Ruptures

Spontaneous bilateral quadriceps tendon rupture: a case report

Isokinetic Evaluation of Knee Strength and Endurance in Hemodialysis Patients Treated with the Transpatellar Tunnel Technique for Bilateral Spontaneous Quadriceps Tendon Ruptures

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