Bilateral patellar tendon ruptures without predisposing systemic disease or steroid use: a case report and review of the literature

Sibley, Ted; Algren, D. Adam; Ellison, Stefanie R.

doi:10.1016/j.ajem.2010.11.011

Cited by 20 publications

(28 citation statements)

References 7 publications

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“…Patellar tendon ruptures are usually associated with unhealthy patellar tendons, systemic disease such as rheumatoid arthritis, systemic lupus erythematous, chronic renal disease or medications such as fluoroquinolones or systemic steroid use 3. This patient has a history of patellar tendinopathy which could be considered as a predisposing risk factor.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous simultaneous bilateral patellar tendon rupture

Foley¹,

Elhelali

Moiloa

2019

BMJ Case Rep

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Bilateral patellar tendon rupture is an extremely rare occurrence, especially in otherwise healthy individuals without systemic disease. The authors report the case of a man who presented with simultaneous, spontaneous bilateral rupture of his patellar tendons. He had a history of unilateral patellar tendinopathy but no other predisposing risk factors such as steroid or fluoroquinolone use. He underwent surgical repair and following intensive rehabilitation, he returned to baseline physical activity 6 months post injury.

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Section: Discussionmentioning

confidence: 99%

Spontaneous simultaneous bilateral patellar tendon rupture

Foley¹,

Elhelali

Moiloa

2019

BMJ Case Rep

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“…Bilateral ruptures of the patellar tendons are extremely rare and have only been documented in case reports [ 1 - 3 ]. Most cases have been associated with corticosteroid and/or fluoroquinolone use and systemic diseases, including systemic lupus erythematosus and rheumatoid arthritis [ 4 ]. Additionally, long-term microtrauma and existing tendinopathy may also contribute to bilateral rupture.…”

Section: Introductionmentioning

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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“…Although rarely seen, simultaneous bilateral rupture of the extensor tendons of the knee is a well-known injury. There are numerous reported cases with bilateral quadriceps tendon (QT) ruptures or bilateral patellar tendon (PT) ruptures in current literature [1,2]. Clinical characteristics and etiologic factors of QT and PT ruptures differ from each other.…”

Section: Introductionmentioning

confidence: 99%

“…PT ruptures are particularly seen in young healthy individuals as a result of acute trauma or repeated microtrauma and overuse. However, QT ruptures are frequently seen in patients older than 40 years of age and usually related to secondary systemic diseases such as chronic renal failure [1][2][3]. On the other hand, simultaneous QT rupture on one side and PT rupture on the contralateral side is an extremely rare injury.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous quadriceps and contralateral patellar tendon ruptures in a patient with chronic renal failure following electric shock; a case report and review of the literature

Bılgın¹,

Cornelis

Alper

et al. 2019

Romanian Journal of Orthopaedic Surgery and Traumatology

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Bilateral extensor tendon ruptures of the knee are not uncommon. However, simultaneous ruptures of the patellar tendon (PT) and contralateral quadriceps tendon (QT) are relatively rare injuries. These ruptures are frequently associated with chronic renal failure and minor trauma. However, they can occur spontaneously in healthy individuals. In this case report, a 43-year-old male with chronic renal failure who sustained bilateral extensor tendon ruptures (right knee: QT rupture, left knee: PT rupture) following an alternating current electrical shock was reported. To our knowledge, simultaneous quadriceps and contralateral patellar tendon rupture following an electric shock have not been reported yet. Etiology, mechanism of injury and treatment options of this rare injury are discussed together with a thorough literature review.

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Bilateral patellar tendon ruptures without predisposing systemic disease or steroid use: a case report and review of the literature

Cited by 20 publications

References 7 publications

Spontaneous simultaneous bilateral patellar tendon rupture

Spontaneous simultaneous bilateral patellar tendon rupture

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

Simultaneous quadriceps and contralateral patellar tendon ruptures in a patient with chronic renal failure following electric shock; a case report and review of the literature

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