Simultaneous bilateral quadriceps tendon rupture: A case report and subject review

Stephens, Brian O.; Anderson, Gail

doi:10.1016/0736-4679(87)90210-1

Cited by 27 publications

(19 citation statements)

References 13 publications

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“…Bilateral tendon rupture associated with systemic disease, for example in renal failure, tends to be in the younger age group, [9][10][11]14 and has been reported in patients between 16 and 22 years of age. [15][16][17] None of our patients had these conditions or bilateral ruptures.…”

Section: Discussionmentioning

confidence: 99%

Rupture of the quadriceps tendon

Hardy¹,

Chimutengwende-Gordon

Bakar

2005

The Journal of Bone and Joint Surgery. British volume

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We reviewed the records of 107 consecutive patients who had undergone surgery for disruption of the knee extensor mechanism to test whether an association existed between rupture of the quadriceps tendon and the presence of a patellar spur. The available standard pre-operative lateral radiographs were examined to see if a patellar spur was an indicator for rupture of the quadriceps tendon in this group of patients. Of the 107 patients, 12 underwent repair of a ruptured patellar tendon, 59 had an open reduction and internal fixation of a patellar fracture and 36 repair of a ruptured quadriceps tendon. In the 88 available lateral radiographs, patellar spurs were present significantly more commonly (p < 0.0005) in patients operated on for rupture of the quadriceps tendon (79%) than in patients with rupture of the patellar tendon (27%) or fracture of the patella (15%). In patients presenting with failure of the extensor mechanism of the knee in the presence of a patellar spur, rupture of the quadriceps tendon should be considered as a possible diagnosis.

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Section: Discussionmentioning

confidence: 99%

Rupture of the quadriceps tendon

Hardy¹,

Chimutengwende-Gordon

Bakar

2005

The Journal of Bone and Joint Surgery. British volume

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“…The depression may be increased with active quadriceps muscle contraction. This is useful because an associated hemarthrosis can sometimes mask the suprapatellar gap [37]. …”

Section: Discussionmentioning

confidence: 99%

Bilateral Simultaneous Quadriceps Tendon Rupture in a 24-Year-Old Obese Patient: A Case Report and Review of the Literature

Abduljabbar

Aljurayyan

Ghalimah

et al. 2016

Case Reports in Orthopedics

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Introduction. Simultaneous bilateral quadriceps tendon ruptures (SBQTR) are uncommon knee injuries and most frequently occur in male patients, over 50 years of age. It can be associated with one or more predisposing risk factors like obesity, steroids use, and hyperparathyroidism. The main focus of this paper is to review SBQTR in obese patients. Case Report. We are reporting the youngest patient in the literature to date, a 24-year-old obese male patient, who presented to the emergency department complaining of bilateral knee pain and inability to walk after a fall during a basketball game. His clinical examination revealed the presence of a palpable suprapatellar gap and loss of knee extension bilaterally. Magnetic resonance imaging (MRI) confirmed that both of his quadriceps tendons were ruptured. A day after his diagnosis, the patient underwent successful operative repair followed by rehabilitation. At the two-year follow-up, the patient had full strength of both quadriceps muscles with no extension lag. Conclusion. The diagnosis of SBQTR can be challenging. Early diagnosis and treatment are associated with better functional outcome compared to delayed treatment. Physicians should have a high index of clinical suspicion in order not to miss such an injury and achieve favourable outcomes.

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“…Only four cases of athletes with this injury have been described in the literature, but in three of them there were predisposing conditions. [2][3][4][5] Table 1 summarises all of them.…”

Section: Discussionmentioning

confidence: 99%

“…This unusual injury has been reported in only four patients during a sporting event. [2][3][4][5] This report describes a patient with simultaneous bilateral quadriceps tendon rupture with no other identifiable risk factors while playing basketball.…”

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confidence: 98%

Simultaneous bilateral quadriceps tendon rupture while playing basketball

Shah

Jooma²

2002

Br J Sports Med

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Br J Sports Med 2002;36:152-153 Simultaneous bilateral quadriceps tendon rupture is an uncommon injury in healthy people and only a few cases have been reported in athletes. This is the first report of a patient with simultaneous bilateral quadriceps tendon rupture incurred while playing basketball. The injury was surgically repaired and the patient had a good functional outcome. Steiner and Palmer 1 were the first to report on a patient with simultaneous bilateral quadriceps tendon rupture in 1949. This unusual injury has been reported in only four patients during a sporting event.2-5 This report describes a patient with simultaneous bilateral quadriceps tendon rupture with no other identifiable risk factors while playing basketball. CASE REPORTA 39 year old black man with no significant past medical history presented to the emergency room with a two day history of bilateral knee pain and swelling. He stated that the pain began after an injury experienced while playing basketball. He was shooting a basket when he was undercut by another player and fell on to the court with both knees flexed underneath his body. He waited two days before receiving treatment because he thought the pain would resolve spontaneously. He was unable to walk after the incident. On further questioning, he complained of swelling and of not being able to extend his legs. Physical examination showed the patient to be a well developed athletically fit man. He was unable to actively extend his legs and had bilateral suprapatellar gaps. Radiographs of the knees showed an effusion, with disruption of the quadriceps unit on the right and quadriceps avulsion fracture on the left. His haematological and metabolic profiles were all within normal limits. There was no history of use of anabolic steroids, previous local steroid injections, or tendinitis. A clinical diagnosis of bilateral quadriceps tendon rupture was made, and the patient was admitted for surgical repair the next day. With the use of transverse incisions, both quadriceps tendons were repaired with baseball sutures through patellar drill holes. The extensor retinaculum was reapproximated both medially and laterally. Both legs were then immobilised in casts for six weeks. He received physiotherapy on an outpatient basis to regain strength and range of motion. Six months after the operation, the patient had completely recovered, with bilateral knee extension to zero degrees and flexion to 90 degrees bilaterally. He had no difficulties with the activities of daily living, but was not back to playing sports. DISCUSSIONBilateral simultaneous quadriceps tendon rupture is a rare injury in an otherwise healthy person. This report represents the first case where a previously healthy athlete ruptures his quadriceps tendon bilaterally and simultaneously with minor trauma while playing basketball. Only four cases of athletes with this injury have been described in the literature, but in three of them there were predisposing conditions. [2][3][4][5] Table 1 summarises all of them.Simultaneous ...

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Simultaneous bilateral quadriceps tendon rupture: A case report and subject review

Cited by 27 publications

References 13 publications

Rupture of the quadriceps tendon

Rupture of the quadriceps tendon

Bilateral Simultaneous Quadriceps Tendon Rupture in a 24-Year-Old Obese Patient: A Case Report and Review of the Literature

Simultaneous bilateral quadriceps tendon rupture while playing basketball

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