Bilateral Simultaneous Infrapatellar Tendon Ruptures: A Case Study

Bilateral patellar tendon rupture following low-energy trauma in a young patient without predisposing risk factors

“…We limited our search to full text, English language publications for adult patients. We excluded studies in patients with risk factors present for tendon rupture, which yielded 17 suitable case reports ( Table 1 ) [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] . Of note, there were three paediatric cases in the literature, one of which had a known diagnosis of Ehlers-Danlos syndrome.…”

“… Free ends of the tendon were debrided and three double-loaded Arthrex BioComposite Swivellock suture anchors were utilised to reapproximate the tendon and reattach to the inferior pole of the patella. Noteboom et al [17] Male 26 Chronic pain for 8+ years following a high school basketball career – pain was exacerbated by jumping. Repair was made using three Mitek sutures placed into the inferior poles of the patella.…”

Distal patellar tendon avulsion fracture in a football player with osteogenesis imperfecta

“…The usual mechanism of trauma is an eccentric overload of the extensor mechanism with the foot planted and the knee partially flexed. Patellar tendon ruptures usually occur at the inferior pole of the patella [9]. Avulsions distally at the tibial tubercle are rarer in adults, but have been reported in combination with acute tibial tubercle avulsions fractures in adolescent athletes [1, 8].…”

A Biomechanical Comparison of Patellar Tendon Repair Materials in a Bovine Model

“…9,10,12,15,16,19,21 This contrasts previous protocols calling for 6 weeks of immobilization and delayed mobilization. 7,8,20,24,25 The benefi ts of early mobilization and the effects of immobility have been shown in numerous basic science and clinical studies. Some hesitations about early mobilization were concerns about possible patella alta due to stretching across the repair or early failure.…”