Bilaterale Ruptur des Lig.patellae bei Diabetes mellitus

Abstract

Bilateral ruptures of patellar tendon are a rare event and occur mainly in older patients suffering from systemic diseases like lupus erythematosus, chronic renal failure, rheumatoid arthritis or are taking longterm corticosteroids. Only few cases of spontaneous bilateral rupture of patellar tendon without underlying systemic disease are described in literature up to now. This report provides a patient with bilateral patellar tendon rupture, where in further check up and follow up only a mild diabetes mellitus treated by diet could be detected as systemic disease. In current opinion diabetes mellitus does not belong to the "typical" underlying systemic diseases for tendon ruptures. In literature research diabetes mellitus was only mentioned once together with a bilateral patellar tendon rupture.

Incidence and predictors of hospitalization for tendon rupture in Type 2 diabetes: the Fremantle Diabetes Study

“…Although there is human and animal evidence of abnormal tendon composition and structure in subjects with diabetes , ex vivo evidence from some animal studies of diabetes‐related mechanical failure , and individual case reports and small series suggesting an association between tendon rupture and diabetes , this is the first large‐scale longitudinal study to address this issue. The patients with Type 2 diabetes in the present study had a significant 44% greater risk of hospitalization for any tendon rupture compared with age‐ and gender‐matched community‐based control subjects.…”

Recurrent bilateral rupture of the patellar tendons: Tendon replacement using polyester connective tissue prosthesis

“…7,9,14,17,22 A few additional reports describe rupture in endocrine disorders such as hyperparathyroidism and diabetes mellitus. 3,15 Pritchard and Berney 18 investigated the frequency of patellar tendon rupture in patients with systemic lupus erythromatosus. They found that tendon rupture appears to be associated with extended disease duration, minimal disease activity, the presence of deforming hand arthropathy and, chronic corticosteroid therapy.…”

Patellar Tendon Excision and Repair for Residual Patella Alta after Prior Failed Patellar Tendon Repair: Surgical Decision Making and Outcome

“…Although this patient had moderate functional limitations at maximal medical improvement, clinically, this patient appreciated a subjective improvement in his general well-being. In addition, this patient had many risk factors predisposing him to worse outcomes including low preoperative functioning, workers' compensation status [ 7 , 8 ], history of type 2 diabetes [ 9 , 10 ], and obesity [ 11 ] (BMI = 37.5). The only other cases of a revision patellar tendon repair identified in the literature resulted in full functional recoveries; however, these patients were 27 and 28 years old, and both were professional athletes [ 12 , 13 ].…”