Quadriceps Tendon Rupture and Periosteal Sleeve Avulsion Fracture of the Proximal Patella Pole in an Active Adolescent

Bimmel, R.; Prime, Matthew; Reddy, K. Ramkumar

doi:10.3928/01477447-20080701-01

Cited by 13 publications

(2 citation statements)

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“… 6 Investigations in patients aged ≤40 years are often limited to case reports or small series. 2 , 15 , 16 , 33 Given the morbidity of quadriceps tendon rupture and the functional goals of younger patients, further investigation into their outcomes is warranted. The purpose of this study was to review the clinical outcomes of patients who underwent QTR at age ≤40 years.…”

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confidence: 99%

Outcomes After Repair of Quadriceps Tendon Rupture in Patients Aged 40 Years and Younger

Rao

Johnson

D’Amore

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: Injury to the quadriceps tendon is rare and most commonly occurs in middle-aged men. Few reports are available regarding outcomes after quadriceps tendon rupture in younger patients. Purpose/Hypothesis: To review the clinical outcomes of patients who underwent quadriceps tendon repair at age ≤40 years. We hypothesized that this cohort would experience better clinical outcomes in comparison to historical older controls. Study Design: Case series; Level of evidence, 4. Methods: Using an institutional database, we retrospectively identified patients who underwent quadriceps tendon repair between January 2009 and December 2017. Patients were included in the study if they were aged ≤40 years at the time of surgery and had sustained an isolated, complete tendon rupture. Patient and injury characteristics were recorded. Patients were contacted to complete a custom survey, the 2000 International Knee Documentation Committee (IKDC) form, the Lysholm scale, and the Tegner scale. Results: Included were 38 patients (86.8% male; mean age, 32.0 ± 6.9 years; age range, 15-40 years), with a mean follow-up of 5.9 ± 2.3 years (range, 2.4-11.3 years). At final follow-up, the mean IKDC score was 74.1 ± 22.6 (range, 26.4-100.0), and the mean Lysholm score was 85.4 ± 20.0 (range, 30-100), which were similar if not inferior to historical controls of patients >40 years. Only 16 patients (42.1%) had unchanged or higher Tegner scores after surgery, whereas 22 patients (57.9%) reported lower postoperative activity level. Overall, 91.2% (31/34) of workers returned at a mean 3.9 months after surgery, whereas 63% (12/19) of athletes were able to return to play at 8.8 months. At final follow-up, 12 patients (31.6%) reported persistent pain and stiffness in their knees. Additionally, 3 patients (7.9%) reported pain without stiffness, and 4 (10.5%) reported stiffness without pain. Patients reporting pain or stiffness had significantly lower IKDC scores, Lysholm scores, postoperative Tegner scores, and change in their Tegner score at final follow-up in comparison to those who did not report pain or stiffness. Conclusion: Although patients aged ≤40 years had satisfactory outcomes after quadriceps tendon repair, this injury resulted in significant long-term sequelae in a substantial percentage of patients, despite their youth. Further, this group did not have better outcomes compared with historical controls aged > 40 years.

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confidence: 99%

Outcomes After Repair of Quadriceps Tendon Rupture in Patients Aged 40 Years and Younger

Rao

Johnson

D’Amore

et al. 2022

Orthopaedic Journal of Sports Medicine

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“…Similar injuries of the superior pole are very rare with only five cases reported in the English literature [8][9][10][11]. Additionally, in all of the reported cases, the injury occurred in the immature or weakened skeleton.…”

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confidence: 70%

Sleeve-like avulsion fracture of the superior pole of the patella in a healthy adult

Teixeira¹,

Lecocq²,

Moisei³

et al. 2013

Diagnostic and Interventional Imaging

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Quadriceps Injury

2016

Diagnostic Imaging: Musculoskeletal Trauma

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Quadriceps Tendon Rupture and Periosteal Sleeve Avulsion Fracture of the Proximal Patella Pole in an Active Adolescent

Cited by 13 publications

References 10 publications

Outcomes After Repair of Quadriceps Tendon Rupture in Patients Aged 40 Years and Younger

Outcomes After Repair of Quadriceps Tendon Rupture in Patients Aged 40 Years and Younger

Sleeve-like avulsion fracture of the superior pole of the patella in a healthy adult

Quadriceps Injury

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