Spontaneous bilateral patellar tendon rupture: case report and review of fluoroquinolone‐induced tendinopathy

Rosa, Bárbara; Campos, Pedro; Barros, André; Karmali, Samir; Gonçalves, Ricardo

doi:10.1002/ccr3.592

Cited by 17 publications

(10 citation statements)

References 16 publications

(18 reference statements)

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“…These histologic changes result in the weakening of the tendon, thus predisposing rupture [ 2 , 10 - 11 ]. In addition to these three main categories, several case reports have described of fluoroquinolone-associated bilateral patellar tendon rupture [ 3 - 4 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Bilateral Patellar Tendon Rupture in a Young Adult Male: A Case Report and Review of the Literature

Moy¹,

Song²,

Wallace³

et al. 2020

Cureus

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A bilateral patellar tendon rupture is extremely rare and has only been documented in case reports. Although the etiology remains unknown, predisposing factors include steroid usage, systemic diseases, and tendinopathies. In the present case, a healthy 33-year-old male with a prior history of bilateral patellar tendonitis and a diagnosis of Osgood-Schlatter disease during adolescence experienced simultaneous bilateral patellar tendon rupture after playing volleyball. He underwent bilateral patellar repair without complications. In the absence of trauma, spontaneous bilateral patellar tendon ruptures are associated with several predisposing factors, including systemic diseases, prior corticosteroid or fluoroquinolone usage, and history of tendinopathy. Injuries can be classified based on the location of the rupture. Bilateral patellar tendon ruptures can be misdiagnosed due to the rarity of cases and the lack of a normal comparative knee. Radiographic techniques can aid in the diagnosis, leading to early surgical treatment and improved outcomes. Early diagnosis and prompt surgical repair contribute to good functional outcomes in this potentially debilitating injury pattern.

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Section: Discussionmentioning

confidence: 99%

Simultaneous Bilateral Patellar Tendon Rupture in a Young Adult Male: A Case Report and Review of the Literature

Moy¹,

Song²,

Wallace³

et al. 2020

Cureus

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“…Typically, bilateral tendon injury has been associated with systemic diseases such as renal failure, diabetes mellitus, rheumatoid arthritis, systemic lupus erythematosus, or a combination of those diseases [ 22 – 33 ]. Furthermore, several authors reported a correlation between tendon rupture and the use of steroids and fluoroquinolones [ 34 – 38 ]. All the aforementioned factors are accused of weakening collagenous structures and the structural integrity of the tendons, leading to their rupture.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Bilateral Rupture of the Patellar Tendon and Medial Collateral Ligament: A Case Report and Literature Review

Louka¹,

Pourre²

2020

Case Reports in Orthopedics

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Bilateral rupture of the patellar tendon is considered an uncommon and rare musculoskeletal injury. The association of this lesion with medial collateral ligament tear appears to be exceedingly rare. We present the case of a combined rupture of the medial collateral ligament (MCL) and the patellar tendon of both knees in a 48-year-old man, after falling 2 meters down an embankment. While there are numerous publications concerning associated MCL tears and other knee ligaments, a combination of MCL tear with a patellar tendon rupture is very rare. In addition, our case presents the first case recorded in the literature, involving both knees of a patient. The clinical case is described and discussed following a review of the literature. The symmetrical knee injury was treated with a primary direct repair of the MCL tears and using a suture anchor fixation of the patellar tendon ruptures, which was reinforced by a stainless steel wire and an autograft of the ipsilateral quadriceps tendon.

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“…Moreover, cases have been reported in apparently healthy people [8], and during sports activities [9]. Treatments like CS [10], FQ [11] and statins [12] also predispose to BPTR.…”

Section: Discussionmentioning

confidence: 99%

Bilateral patellar tendon rupture on lupus undergoing corticosteroids: a case report

Ouali

Nassar

Bassa

et al. 2020

BMC Musculoskelet Disord

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Background: Patellar tendon rupture is a rare condition, especially when it is bilateral. The most frequent associated pathologies are systemic lupus erythematosus, chronic renal failure, or treatments like corticosteroids. The aim of this case report is to draw attention to the non-specific clinical aspect of this condition, to recall its radiological signs, and highlight the diagnostic contribution of musculoskeletal ultrasound. Case presentation: A 39-year-old man was diagnosed with a systemic lupus erythematosus with cutaneous, pulmonary, cardiac, hematological, renal, and immunological manifestations. He was treated with high-dose corticosteroids. Within 3 months he presented with a total functional impotence of the knees. On physical examination, there was a gap in the right infrapatellar region, his patellae were abnormally ascended, and his left knee was swollen. Insall-Salvati ratio on knees conventional radiographies was 2.5 in the right and 2.25 in the left knee, assessing bilateral patella alta. Ultrasound revealed a complete and bilateral patellar tendon rupture. The treatment consisted in a surgical repair and physiotherapy. The patient was able to mobilize independently after 6 months. Conclusions: Bilateral patellar tendon rupture is exceptional. Systemic lupus erythematosus and corticosteroids are among trigger factors. Careful examination of the patellae should be done in front of knee extension deficit. Ultrasound plays a determining role in the diagnosis.

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Spontaneous bilateral patellar tendon rupture: case report and review of fluoroquinolone‐induced tendinopathy

Cited by 17 publications

References 16 publications

Simultaneous Bilateral Patellar Tendon Rupture in a Young Adult Male: A Case Report and Review of the Literature

Simultaneous Bilateral Patellar Tendon Rupture in a Young Adult Male: A Case Report and Review of the Literature

Simultaneous Bilateral Rupture of the Patellar Tendon and Medial Collateral Ligament: A Case Report and Literature Review

Bilateral patellar tendon rupture on lupus undergoing corticosteroids: a case report

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