Bilateral Spontaneous and Simultaneous Rupture of the Quadriceps Tendons in Gout

Levy, Michael J.; Seelenfreund, M; Maor, P; Fried, A; Lurie, Miriam

doi:10.1302/0301-620x.53b3.510

Cited by 92 publications

(39 citation statements)

References 4 publications

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“…The weakening of the tendon is caused by fibrinoid necrosis with the chronic inflammatory reaction [6,8,15]. When fibrinoid degeneration occurs in the ligamentous or tendinous structure with inflammatory cells, some vessels are thrombosed.…”

Section: Discussionmentioning

confidence: 99%

Anterior cruciate ligament rupture in gouty arthritis

Hwang

Lee

Han

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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A 34-year-old male presented with right knee instability without any trauma. He had been diagnosed with right knee gouty arthritis 2 years prior. An arthroscopic examination revealed abundant calcific material deposited around the knee joint, including in the ACL tissue, and that the ACL was torn at the femoral attachment site. Treatment involved a synovectomy to remove calcific material, followed by an ACL reconstruction. Histology evaluation revealed gouty arthritis with the presence of tophi in the synovium, soft tissue, and ACL tissue. The case presented here indicates the possibility of pathologic rupture of the ACL associated with gouty tophus infiltration of that ligament. Level of evidence IV.

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Section: Discussionmentioning

confidence: 99%

Anterior cruciate ligament rupture in gouty arthritis

Hwang

Lee

Han

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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“…Degenerative changes associated with ageing and calcific tendinopathy have also been shown to be a factor with QT ruptures [3][4][5] . Conditions such as diabetes, chronic renal failure 6 , gout 7 , and quinolone antibiotic use 8 amongst others have been shown to increase the risk of QT ruptures. Prompt surgical repair has been shown to result in good to excellent range of motion, and a return to sport in most studies.…”

Section: Introductionmentioning

confidence: 99%

Outcomes after quadriceps tendon repair in patients over 80 years of age

Ellanti

Moriarty

Nagle

et al. 2016

MLTJ

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SummaryBackground: Quadriceps tendon (QT) ruptures are uncommon and mostly occur in those who are 50-60 years of age. Timely surgical repair can result in a good functional outcome, however, little is known about the outcome in the older patient. Methods: A retrospective review of all QT ruptures between 2009 and 2014 was conducted. Patients over the age of 80 were included. Those with penetrating trauma or partial ruptures were excluded. A chart review was undertaken to gather demographic and operative details. The patients were contacted by phone or by mail to have Lysholm and Rougraff scores completed. Results: Of the 32 QT ruptures identified, 6 (19%) patients were eligible for inclusion in our study. They were predominantly (83%) males with a mean age of 81.38 years. The mean follow up was 54 months. The mean Lysholm score at last follow up was 84.8/100, which falls within the range of a good outcome. The mean Rougraff score was 21.3/25, which is an excellent outcome. All patients felt they were close to their premorbid level of mobility. Conclusion: Good outcomes can be expected with QT repair in older patients, resulting in restoration of the pre-injury level of mobility. Level of evidence: Level V case series.KEY WORDS: elderly patients, outcome, quadriceps tendon rupture.

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“…Degenerative changes associated with ageing and calcific tendinopathy have also been shown to be a factor with QT ruptures 3,4 . Spontaneous QT ruptures have been shown to be associated with predisposing conditions such as diabetes, chronic renal failure 5 , gout 6 , and quinolone antibiotic use 7 amongst others. It has also been suggested that the presence of a patella spur, a bony prominence at the QT tendon insertion point of the proximal pole may be associated with ruptures ( Fig.…”

Section: Introductionmentioning

confidence: 99%