Abstract

A 56-year-old male was referred to the casualty with a painful, swollen knee. He gave history of a fall on the flexed knee. Overnight the knee swelled up and he was unable to bear any weight on it. On examination, the right knee demonstrated a tense effusion. The knee was diffusely tender and movements were painful and restricted. He was unable to do a straight-leg raise. There was a palpable gap in the quadriceps tendon superior to the patella. A rupture of the quadriceps tendon was diagnosed. XRays revealed a hazy, fluffy calcification at the superior pole of patella and was deemed to indicate previŽ . ous trauma and degeneration Fig. 1 . The quadriceps tendon was explored with a longitudinal anterior midline incision. The tendon was found to be intact. On

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