Simultaneous Bilateral Quadriceps Tendon Rupture Research Articles

Simultaneous Bilateral Quadriceps Tendon Rupture in A Diabetic Patient: A Rare Case Report and Surgical Technique

Simultaneous Bilateral Quadriceps Tendon Rupture in A Diabetic Patient: A Rare Case Report and Surgical Technique

Simultaneous bilateral quadriceps tendon rupture in a patient on hemodialysis: A case report

Simultaneous bilateral quadriceps tendon rupture is an uncommon but disabling clinical entity that usually has an underlying cause of tendon weakening. We present a case of a 36-year-old male who presented with full-thickness tears of both quadriceps tendons following a fall on the knees and was found to have underlying calcific tendinopathy secondary to chronic kidney disease and hemodialysis. Imaging with radiographs and ultrasound scans usually suffices for the evaluation of tendon pathology in cases of clinical suspicion of quadriceps tendon rupture.

Simultaneous bilateral quadriceps tendon rupture in a healthy young male: a case report

BackgroundSimultaneous bilateral quadriceps tendon rupture is rare, particularly in young individuals with no prior medical history. We present the case of a young man who presented with bilateral quadriceps tendon rupture.Case presentationA 27-year-old Japanese man missed a step while descending a flight of stairs, stumbled, and became aware of severe pain in both knees. He had no past medical history, but was severely obese, with a body mass index of 43.7 kg/m2 (height 177 cm, weight 137 kg). Five days after injury, he was referred to our hospital for examination and treatment. Bilateral quadriceps tendon rupture was diagnosed based on magnetic resonance imaging, and quadriceps tendon repair with suture anchor was performed on both knees 14 days after injury. The postoperative rehabilitation protocol was to immobilize both knees in extension for 2 weeks, then to gradually proceed with weight-bearing and gait training using hinged knee braces. Both knees obtained a range of motion from 0° to 130° without any extension lag by 3 months postoperatively. One year postoperatively, tenderness was evident at the suture anchor in the right knee. That suture anchor was therefore removed in a second operation, and histological evaluation of the tendon of the right knee revealed no pathological changes. As of 19 months after the primary surgery, the patient showed a range of motion from 0° to 140° in both knees, did not complain of any disability, and had fully returned to normal daily activities.ConclusionsWe experienced simultaneous bilateral quadriceps tendon rupture in a 27-year-old man with no past medical history other than obesity. Suture anchor repair was performed for both quadriceps tendon ruptures and achieved a favorable postoperative outcome.

Concomitant Use of Single Suture Anchor and Transosseus Repair Provide Optimal Results in Simultaneous Bilateral Quadriceps Tendon Rupture: A Case Report

Introduction
 Bilateral quadriceps tendon rupture is a rare condition and often associated with underlying medical comorbidities such as chronic renal insufficiency. This case report is aimed to evaluate the surgical outcome using the combination of suture anchor and transosseus repair technique.
 
 Presentation of Case
 Presenting a 54-year-old male who sustained simultaneous bilateral quadriceps tendon rupture with history of right nephrectomy and chronic kidney disease requiring intermittent hemodialysis. He came with sudden bilateral knee pain, history of falling, and inability to walk since three weeks before admission to the hospital. Tenderness above the superior pole on both patella, accompanied with slight swelling and no active range of motion (ROM) of either knee joint was found on physical examination. Complete rupture of the quadriceps tendon of both knees at their osseus-tendon junction were revealed on magnetic resonance imaging (MRI).
 
 Discussion
 Recent literatures suggested that transosseus technique offers the safest and more stable tendon reattachment, while suture anchor provides biomechanical superiority. We tried to combine these advantages by incorporating both methods. Progressive active knee motion exercise was performed shortly after using the Kocher slab for 2 weeks.Subsequently, the patient can achieve painless, active extension and active 90°-120° knee flexion 1 month post-operatively.
 
 Conclusion
 The application of a single suture anchor with transosseus repair in quadriceps tendon rupture led to an optimal outcome, improved stability, and earlier rehabilitation.

Simultaneous Bilateral Quadriceps Femoris Tendon Rupture: Case report

Introduction: Simultaneous bilateral quadriceps tendon rupture is a very rare injury that may be associated with systemic illnesses or drugs. We present a case of bilateral quadriceps tendon rupture in a patient with no identifiable risk factors. 
 Case: Sixty seven year old male patient presented to emergency room with bilateral knee pain after trip and fall from 2 steps on his knees. His physical exam revealed bilateral suprapatellar swelling and tenderness with palpation on both knees and he could not fully actively extend knees. Magnetic resonance imaging revealed bilateral quadriceps tendon rupture. Both knees were immobilized with long leg cast in full extension. Early operative treatment was offered. 
 Conclusion: Diagnosis may be delayed in bilateral quadriceps tendon rupture. Since it is a rare injury emergency medicine physicians should be familiar with symptoms and signs of it to diagnose it early and prevent disability.

A Rare Case of Acute Simultaneous Bilateral Quadriceps Tendon Rupture - From Diagnosis to Treatment and Review of the Literature

A Rare Case of Acute Simultaneous Bilateral Quadriceps Tendon Rupture - From Diagnosis to Treatment and Review of the Literature

Isokinetic Evaluation of Knee Strength and Endurance in Hemodialysis Patients Treated with the Transpatellar Tunnel Technique for Bilateral Spontaneous Quadriceps Tendon Ruptures.

There are numerous surgical techniques described for treating acute quadriceps tendon rupture. We aim to evaluate the strength of the quadriceps tendon using isokinetic tests in hemodialysis patients treated with the transpatellar tunnel technique for bilateral spontaneous quadriceps tendon ruptures. Additionally, functional and clinical results were investigated and compared with hemodialysis patients without a history of quadriceps tendon rupture. We retrospectively reviewed hemodialysis patients diagnosed with quadriceps tendon rupture who were operated between 2005 and 2015 at our institution. Eight patients with simultaneous bilateral quadriceps tendon rupture treated with the transpatellar tunnel technique (group 1; the operated group) and 10 patients with chronic renal failure without a history of quadriceps tendon rupture who underwent hemodialysis (group 2; the control group) were included in this study. The active range of motion (ROM), Lysholm and Tegner scores, knee flexor and extensor muscle strengths, and endurances were measured using an isokinetic dynamometer for each group and compared between the groups. The mean age was 44.6 and 40.2 years in groups 1 and 2, respectively. The mean follow-up was 58.6 (range, 24-140) months in group 1. The active ROM was 113.7 ± 9.7 degrees in group 1 and 130 ± 4.8 degrees in group 2 (p < 0.001). The mean Tegner score was not significantly different between the groups (1.87 ± 1.1 in group 1 vs. 2.6 ± 0.9 in group 2; p = 0.212). However, the Lysholm score was significantly higher in group 2 (93.2 ± 7.3 vs. 76.7 ± 13.8; p = 0.009). The mean extensor strength and endurance were significantly higher in group 2 than in group 1. The mean flexor strength and endurance were higher in group 1 than in group 2, but no significant difference was found. Although using the transpatellar tunnel technique for bilateral spontaneous quadriceps tendon ruptures in hemodialysis patients can provide acceptable functional results, the ROM and strength particularly in extensor muscle might be significantly lower than control group. Level of evidence is Level III therapeutic case-control study.

Simultaneous bilateral quadriceps tendon rupture with remote, short-term, low-dose statin use: erratum

Simultaneous bilateral quadriceps tendon rupture with remote, short-term, low-dose statin use: erratum

Simultaneous Bilateral Quadriceps Tendon Rupture Following a Low - Energy Trauma in a Male Body Builder with the History of Anabolic - Androgenic Steroids Consumption

Simultaneous Bilateral Quadriceps Tendon Rupture Following a Low - Energy Trauma in a Male Body Builder with the History of Anabolic - Androgenic Steroids Consumption

Simultaneous bilateral quadriceps tendon rupture with remote, short-term, low-dose statin use

Simultaneous bilateral quadriceps tendon rupture with remote, short-term, low-dose statin use

Sonographic diagnosis of simultaneous bilateral quadriceps tendon rupture

AbstractSimultaneous, bilateral quadriceps tendon rupture is a rare pathology, commonly predisposed by trauma or systemic disorders. Diagnosis based on history, physical examination and plain films can be delayed in acute injury. We report a case of simultaneous bilateral quadriceps tendon rupture that was diagnosed with sonographic evaluation 6 weeks after the initial injury.

Simultaneous bilateral quadriceps tendon rupture in a patient with hyperparathyroidism undergoing long-term haemodialysis: A case report and literature review

Simultaneous bilateral quadriceps tendon rupture is a rare injury that represents < 5% of all quadriceps tendon ruptures. It is generally associated with chronic metabolic disorders and is seen in patients with uraemia undergoing maintenance haemodialysis. The present case was a 46-year-old man who presented with pain and the inability to extend his knees following a minor accident. A physical examination combined with X-radiography and magnetic resonance imaging investigations resulted in a diagnosis of bilateral quadriceps tendon rupture. He had a history of uraemia and had received regular haemodialysis for 7 years. He had high levels of serum parathyroid hormone and he was diagnosed with secondary hyperparathyroidism. Following surgical repair of both quadriceps tendons, in addition to management of the secondary hyperparathyroidism, the patient regained full active mobility of both knee joints and was able to participate in normal activities of daily living.

Simultaneous Bilateral Quadriceps Tendon Rupture following Long-Term Low-Dose Nasal Corticosteroid Application

Simultaneous bilateral quadriceps tendon rupture is a very rare injury, which was previously only described in slightly more than 100 cases in the English literature. Occurrence after minor trauma is predominantly associated with certain medical conditions including chronic diseases and long-term use of certain drugs. We report the case of a 61-year-old healthy patient who sustained a simultaneous bilateral quadriceps tendon rupture following minor trauma. Medical history was completely clear except of a long-term nasal corticosteroid medication due to allergic rhinitis.

Simultaneous and Spontaneous Bilateral Quadriceps Tendons Rupture

Simultaneous and spontaneous bilateral quadriceps tendon rupture is an uncommon injury that is usually seen in association with multiple medical conditions and some medications. We report a case of simultaneous and spontaneous bilateral quadriceps tendon rupture that may be related to the long-term use of a statin.

Collagen Type V Polymorphism in Spontaneous Quadriceps Tendon Ruptures

Spontaneous simultaneous bilateral quadriceps tendon rupture is associated with multiple medical conditions and pharmacological treatments; however, identifying prior risk factors is impossible in most cases. Achilles tendon and anterior cruciate ligament ruptures are associated with collagen, type V, alpha 1 (COL5A1) polymorphism. This genetic variant may be implicated quadriceps tendon rupture. The COL5A1 encodes the protein for pro-α1 chains of the low-abundance heterotrimeric type V collagen. In most noncartilaginous tissues, type V collagen is a quantitatively minor component of type I collagen that has been implicated in the regulation of the size and configuration of type I collagen fibrils. The functional significance of COL5A1 polymorphism in relation to type V collagen expression or activity has not been determined.This article describes a patient with COL5A1 polymorphism and spontaneous simultaneous quadriceps tendon rupture. However, genetic and histologic studies performed on blood and tendon tissues and 3 consecutive sex- and age-matched controls showed a statistically significant reduction in collagen type V expression and an alteration in collagen structure in the tendon. These findings might explain the pathomechanisms of spontaneous tendon ruptures associated with COL5A1 polymorphism.

Simultaneous Bilateral Quadriceps Tendon Rupture in Patient with Secondary Hyperparathyroidism due to Chronic Renal Failure: A Case Report

Simultaneous bilateral spontaneous rupture of the quadriceps tendon is a very rare condition and only a few cases have been reported in the literature. The etiology is not clear yet. But it occurs infrequently in patients with chronic metabolic disorders, such as secondary hyperparathyroidism due to chronic renal failure. We describe a case of simultaneous spontaneous bilateral quadriceps tendon tupture in a 36-year-old male patient with secondary hyperaprathyroidism due to chronic renal failure.

Simultaneous Bilateral Quadriceps Tendon Rupture in Patient with Chronic Renal Failure

Simultaneous bilateral spontaneous rupture of the quadriceps tendon is a very rare condition and only a few cases have been reported in the literature. The etiology is not clear yet. But it occurs infrequently in patients with chronic metabolic disorders. A 30-year-old female patient with simultaneous bilateral spontaneous quadriceps tendon rupture visited our hospital. She had chronic renal failure and her parathyroid hormone level was elevated due to parathyroid adenoma. We report a surgical repair of both quadriceps tendons of a patient with chronic renal failure as well as management of hyperparathyroidism.

Bilateral simultaneous rupture of the quadriceps tendon in a patient with psoriasis: a case report and review of the literature

IntroductionBilateral quadriceps tendon rupture is not common in the absence of systemic disease. Patients with chronic systemic diseases such as uremia and systemic lupus erythematosus and patients who are being treated with systemic steroids or local steroid injections are more prone to tendon rupture. The tendon can rupture spontaneously or as a result of trauma. We report an unusual case of simultaneous bilateral traumatic quadriceps tendon rupture in a patient with psoriasis who was being treated with topical steroid preparations.Case presentationA 57-year-old Caucasian man with a known history of psoriasis, for which he was being treated with topical steroid preparations, presented to our hospital with clinical signs of bilateral quadriceps tendon rupture after he fell while walking down stairs. The diagnosis was confirmed by bilateral ultrasound scans of the thighs. The patient underwent surgery to repair both quadriceps tendons. Post-operatively, the patient was immobilized first in bilateral cylinder casts for six weeks, then in knee braces for the next four weeks. His knees were actively mobilized during physiotherapy.ConclusionBilateral quadriceps tendon rupture is a rare occurrence in patients with psoriasis who are being treated with topical steroids.

Simultaneous bilateral quadriceps tendon rupture in a uremic patient

Quadriceps is a part of extensor mechanism, and it is a strong muscle bundle for knee joint movement. It rarely ruptures in the general population. We present a case with simultaneous bilateral quadriceps tendon rupture and discuss the causes. A 45-year-old man had a history of end stage renal disease and received regular hemodialysis treatment for more than 12 years. He met with a stumbling accident while walking down stairs that resulted in painful swelling in both knees, which disabled him from walking. In the beginning, the radiogram showed no fracture, but magnetic resonance imaging examination showed bilateral quadriceps tendon rupture. Primary quadriceps tendon repair was performed, and the result was satisfactory after serial rehabilitation program. He was noted to have hypercalcemia 3 months later, and hyperparathyroidism with hypertrophic parathyroid gland was found on sonogram. Thyroidectomy was done, and postoperative status was uneventful. The range of motion of both knee joints got satisfactory recovery. The blood calcium level was well in control with vitamin D and calcium carbonate. No seizure occurred. Simultaneous bilateral quadriceps tendon rupture after trivial injury is uncommon. If it does occur, then the presence of some chronic underlying disease should be thoroughly investigated. Early treatment has a better result than the delayed cases.

Rapid Recovery from Spontaneous and Simultaneous Bilateral Quadriceps Tendon Rupture in an Active, Healthy Individual

Bilateral spontaneous quadriceps rupture is an uncommon injury that is usually seen in association with multiple medical conditions and is frequently misdiagnosed. It is rarely seen in healthy, active individuals. This article presents a case of bilateral simultaneous and spontaneous rupture of the quadriceps tendon in a healthy, athletic, active and highly motivated patient with rapid recovery from injury and return to full sport activity within a relatively short period of time. A 65-year-old healthy man felt both knees give way while walking down stairs at home and collapsed, unable to bear weight. He was fit and well, not on any medications and basic laboratory screening was within normal limits. He was an active sportsman, horse rider, swimmer, and long-distance cyclist, and had completed a half marathon 1 month before his injury. He was diagnosed with bilateral quadriceps tendon ruptures. An ultrasound of both knees confirmed the diagnosis of full-thickness rupture. Surgical repair of both quadriceps tendons was performed 3 days after the injury. Bilateral locking brace in 10 degrees of flexion was used to immobilize both knees and protect the repair for 6 weeks. The patient remained nonweight bearing for 2 weeks, then gradual weight bearing was commenced, with full weight bearing at 6 weeks. Intensive isometric quadriceps exercises were started on the second postoperative day. Immobilization of both knees was maintained for 6 weeks, after which full active range of motion (ROM) was initiated. At 16 weeks after the injury he had bilateral ROM from 0 degrees to 120 degrees flexion, with no extension lag. He was horse riding, playing golf, swimming, and walking distances up to 2 miles at that time.