Bilateral spontaneous rupture of quadriceps tendon in a case of gout

Abstract

Introduction: Bilateral and spontaneous quadriceps tendon rupture is a very rare phenomenon in clinical scenario. It is usually associated with trivial trauma superimposed on pathological and weakened quadriceps tendon due to various conditions. Because of its uncommon nature it is frequently misdiagnosed and mistreated. Case Report : A 57-year-old gentleman developed bilateral spontaneous quadriceps tendon rupture following a trivial fall. Further evaluation revealed that he was suffering from gout. Bilateral quadriceps tendon tears were surgically repaired with Krackow technique. He was started on treatment for hyperuricemia. He achieved good functional results at 20-week follow-up. Conclusion : Bilateral spontaneous quadriceps tendon rupture occurs in pathologically weakened tendon due to various disease processes. Correct diagnosis and early treatment provides best functional results.