Quadriceps Tendon Rupture

Ramsey, Robert H.; Muller, G. E.

doi:10.1097/00003086-197005000-00019

Cited by 26 publications

(44 citation statements)

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“…They were mistreated for strokes, radiculopathy, and myelopathy. Some studies, published forty years ago [27,29], reported as many as 38-40% of initial misdiagnoses, when quadriceps tendon rupture was misdiagnosed as a neurological condition and less harmful knee injuries [27,29], as it was the case in 10% of our study sample. The incidence of misdiagnosed patients today is much lower because of available modern diagnostic procedures, but clinical examination is still basic for a valid diagnosis.…”

Section: Discussionmentioning

confidence: 68%

“…The patients should be specifically asked about any history of systemic disease, steroid use, infection, tumors, or prior surgeries. There may be a history of an audible pop at the time of injury [23,27]. Obvious suprapatellar swelling, ecchymosis, and tenderness, palpable defect in the suprapatellar area and a low-lying patella are usually present.…”

Section: Discussionmentioning

confidence: 99%

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Quadriceps tendon injuries

Ristić¹,

Maljanović²,

Popov

et al. 2013

Med pregl

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Quadriceps tendon injuries

Ristić¹,

Maljanović²,

Popov

et al. 2013

Med pregl

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“…The high rate of misdiagnosis [3][4][5] has not decreased with the introduction of ultrasound and MRI investigations. In addition, these examinations are costly and time consuming in an emergency department.…”

Section: Discussionmentioning

confidence: 99%

“…Despite these clinical signs, misdiagnosis are frequent -ranging from 39% to 67%. [3][4][5] A gap in the tendon may not be convincingly palpable, and the patient's ability to raise his/her leg straight with use of the medial and lateral patellar retinaculum or iliotibial band may convince the inexperienced observer that only a few fibres of the tendon have been ruptured. However, the results of the repair may be compromised if the delay to surgery exceeds a few days [5][6][7] and no clinical diagnostic test has been described to date.…”

mentioning

confidence: 99%

A New Clinical Test in Diagnosing Quadriceps Tendon Rupture

Jolles¹,

Garofalo²,

Gillain³

et al. 2007

annals

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INTRODUCTION Extensor mechanism ruptures might be easily overlooked and misdiagnosed, and delayed diagnosis of quadriceps tendon rupture is frequent. However, the literature recommends early surgical repair within 72 h.PATIENTS AND METHODS This paper describes a new simple clinical diagnostic test that directly evaluates the integrity of the distal 5 cm of the quadriceps tendon itself. It consists of inserting a needle in the tendon, proximal to the suspected rupture and mobilising the knee joint. RESULTS The suspected ruptured quadriceps tendons with a positive 'needle' diagnostic test were confirmed intra-operatively.CONCLUSIONS This minimally invasive and easily available technique should be considered in the diagnostic work-up and treatment planning of patients with suspected tears of the quadriceps tendon.

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“…If the tendon can be apposed to the bone but the tissue is weak, the repair may be reinforced by a flap or turndown of healthy proximal quadriceps tendon or augmented with a semitendinosus tendon. 1 If the quadriceps has shortened and cannot be apposed to the patella, a lengthening procedure with augmentation is required. Codivilla described a lengthening procedure in which an inverted V is cut through the full thickness of the quadriceps tendon 1.3 cm proximal to the rupture.…”

Section: Historical Perspectivementioning

confidence: 99%