Non-Operative Rehabilitation of Isolated Popliteus Tendon Rupture in a Rugby Player

Koong, Denis P; An, Vincent V.G.; Lorentzos, Peter; Moussa, Peter; Sivakumar, Brahman

doi:10.5792/ksrr.17.072

Cited by 13 publications

(24 citation statements)

References 10 publications

(32 reference statements)

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“…The stability of the knee despite swelling and tenderness may be indicative of isolated popliteus rupture. 1 , 3 - 6 …”

Section: Discussionmentioning

confidence: 99%

“…Guha et al 3 reported return to activity at 6 weeks and no instability at 12 months with non-operative management of a semi-professional athlete with complete intra-substance rupture. Koong et al 4 similarly described return to full contact activities at 4 weeks in a 22-year-old professional ruby player who had sustained a complete popliteus tendon rupture at the musculotendinous junction. This player returned to regular season matches soon after.…”

Section: Discussionmentioning

confidence: 99%

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Diving for the Basketball: An Isolated Popliteus Rupture in an Adolescent Female with 6 Year Follow-Up

Newcomb¹,

Kenneally

Yerdon³

et al. 2021

Global Pediatric Health

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Popliteus tendon injuries most often occur in a traumatic setting with damage to multiple other knee structures. Isolated popliteal injuries, however, are rare. To our knowledge, there are no cases of a female pediatric patient with an intrasubstance popliteal tendon rupture in the current literature. This case report aims to illustrate symptoms, imaging, and treatment of an isolated popliteal tendon rupture in an adolescent female. An athletic 14-year-old female presented with right knee pain 4 weeks after a basketball injury in which she dove for the ball and fell, twisting and striking her knee. She had diffuse pain on both sides of the right knee for 3 weeks and pain with running, jumping or twisting. The knee exam was otherwise unremarkable. A right knee MRI demonstrated a complete rupture of the popliteal tendon. No other knee injuries were visualized. The patient was treated non-operatively and gradually returned to normal activities and sports at 6 weeks post injury. On 6-year follow up, the patient had no residual pain or instability and was able to play basketball without difficulty. Isolated popliteal tendon ruptures are extremely rare and difficult to diagnose given non-specific clinical exam findings. While these ruptures can be difficult to visualize on MRI, imaging can help to clarify the diagnosis by ruling out other injuries with similar clinical presentations. In the case of this young and active patient, diagnosis and full recovery without limitations were achieved with 6 weeks of conservative management.

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“…The stability of the knee despite swelling and tenderness may be indicative of isolated popliteus rupture. 1 , 3 - 6 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Diving for the Basketball: An Isolated Popliteus Rupture in an Adolescent Female with 6 Year Follow-Up

Newcomb¹,

Kenneally

Yerdon³

et al. 2021

Global Pediatric Health

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show abstract

“…Popliteal integrity decreases the external rotation laxity seen in full-thickness popliteal tendon tears. However, there is also a role for conservative management in these injuries, 10,11 and future prospective studies are needed to determine the relative outcomes of surgical intervention as opposed to conservative management. In this case, a full-thickness popliteal injury was diagnosed preoperatively based on both clinical examination and imaging findings, and the surgical approach was already necessary to treat the meniscal pathology.…”

Section: Discussionmentioning

confidence: 99%

“…1,7 Furthermore, monosodium urate crystals that induce gout commonly collect in the popliteal hiatus and may also weaken the tendon, thereby leading to a susceptibility for tearing. 8,9 The management of isolated popliteal tendon injuries remains controversial, with some authors favoring conservative management 10,11 but others proposing surgical intervention for acute and chronic grade 3 injuries of the popliteus. 7,12 The rationale for acute intervention in popliteal tendon injury is to restore the biomechanical integrity of the posterolateral corner, thereby decreasing stress on and potential future injury to the FCL, popliteofibular ligament, lateral compartment, and cruciate ligaments.…”

mentioning

confidence: 99%

Open Popliteal Tendon Repair

Arner¹,

Johannsen²,

Ruzbarsky³

et al. 2021

Arthroscopy Techniques

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Popliteal tendon tears without concomitant damage to the cruciate ligaments or other posterolateral corner ligaments are rare entities with few studies reporting on their existence, with rare case reports discussing their treatment. Continued pain, instability, and effusions are typical symptoms, with magnetic resonance imaging being the main tool for diagnosis. Furthermore, monosodium urate crystals that induce gout have been shown to collect in the popliteal groove and thus may lead to degeneration and isolated tearing. Most case reports have reviewed arthroscopic debridement of the tendon in patients with continued pain. However, in the young athletic population, open repair, if the tissue appears to be of adequate quality, should be a consideration. The use of suture anchors to restore the popliteus to its anatomic footprint is desired. This Technical Note describes a safe and reliable technique for open popliteal tendon repair of an isolated avulsion injury.

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“…With medical diagnostic and technical improvements, recent studies indicate that popliteus tendon injuries are being reported with increasing frequency due to the popularity of higher levels of sports 1 .…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic-assisted Treatment of Popliteus Tendinitis

Chen¹,

Hankun²,

Chen³

et al. 2020

Preprint

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Background: Popliteus tendinitis is an unusual factor to cause pain of the knee joint in its posterolateral compartment. There are few reports that the arthroscopy used for the treatment of refractory and symptomatic popliteus tendinitis. This study aimed to evaluate the effect of arthroscopic treatment of popliteus tendinitis via an auxiliary extreme lateral approach and to investigate the pathogenesis and treatment of popliteus tendinitis.Methods: From 2014 to 2018, arthroscopic popliteus tendon ablation was performed in 15 patients (15 knees) with popliteus tendinitis via an auxiliary extreme lateral approach. Clinical outcomes were assessed using the Lysholm knee scoring scale, the Tegner score, the International Knee Documentation Committee (IKDC) score and the visual analogue scale (VAS) pain score at the 24-month follow-up after surgery.Results: A total of 15 patients (mean age, 51.1 ± 7.1 years) were included; they had a mean body mass index of 23.8 ± 2.1. The minimum follow-up period was 24 months. Comparing the postoperative state to the preoperative state, the mean postoperative Lysholm score, Tegner score, and IKDC score improved significantly from 70.0 ± 5.0, 3.0 ± 0.9, and 62.3 ± 5.5 to 89.3 ± 4.2, 4.6 ± 0.61, and 80.5 ± 4.4, respectively (p < 0.01). The preoperative VAS score for pain improved from 4.3 ± 0.7 to 0.9 ± 0.6 (p < 0.01). No patients were lost to follow-up.Conclusion: Following arthroscopic-assisted treatment, all the patients with popliteus tendinitis achieved satisfactory clinical outcomes in terms of pain relief and improved function.

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Non-Operative Rehabilitation of Isolated Popliteus Tendon Rupture in a Rugby Player

Cited by 13 publications

References 10 publications

Diving for the Basketball: An Isolated Popliteus Rupture in an Adolescent Female with 6 Year Follow-Up

Diving for the Basketball: An Isolated Popliteus Rupture in an Adolescent Female with 6 Year Follow-Up

Open Popliteal Tendon Repair

Arthroscopic-assisted Treatment of Popliteus Tendinitis

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