Rupture bilatérale du tendon patellaire chez un footballeur

Neglected bilateral rupture of the patellar tendon: A case report

“…3 However, its bilateral rupture is extremely uncommon 2 and occurs after low-energy trauma or without trauma. The extensor mechanism consists of the quadriceps tendon, the patella, the patellar tendon, and the insertion of the patella on the tibial tubercle.…”

“…2 Usually the spontaneous bilateral patellar tendon rupture has been associated with systemic diseases such as SLE, rheumatoid arthritis, chronic renal failure and prolonged corticosteroid fluoroquinolones treatments. 3 In addition to ageing, these conditions lead to the degeneration of collagen 0 1 5 ) 2 9 6 -2 9 9 fibrils and the loss of tendon vascularisation. 4 more specifically In CKD patients on long term hemodialysis; hyperparathyroidism (by causing dystrophic calcification-weakening tendon and subperiosteal bone resorption-wekening osteotendinous junction), acidosis (disrupting structure of proteinpolysaccharide complex which is responsible for collagen maturation) and beta 2 amyloid deposition may be responsible for tendinopathy and rupture may occur with little force.…”