Simultaneous bilateral patellar tendon rupture

Abstract

Bilateral patellar tendon rupture is a rare entity, often associated with systemic diseases and patellar tendinopathy. The authors report a rare case of a 34-year-old man with simultaneous bilateral rupture of the patellar tendon caused by minor trauma. The patient is a retired basketball player with no past complaints of chronic knee pain and a history of steroid use. Surgical management consisted in primary end-to-end tendon repair protected temporarily with cerclage wiring, followed by a short immobilization period and intensive rehabilitation program. Five months after surgery, the patient was able to fully participate in sport activities.

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

“…We found that patients with bilateral ruptures can expect to return to their normal baseline mobility, including a return to sports by 6–12 months post-operatively. Three patients had returned to their baseline level of mobility by six months post procedure [2] , [4] , [7] . Only one patient had a documented post-operative complication, with Taylor et al's patient developing a pulmonary embolism on post operative day 1, however they were successfully treated with heparin [5] .…”

“…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.…”

“… Article focused on the benefit of point of care ultrasound but mentions surgical repair was performed. Moura et al [7] Male 34 Sudden running stop, associated with a twisting motion. An end-to-end primary Kessler-type tendon repair reinforced with intraosseous sutures was performed in both knees.…”

“…Post-operatively, almost all patients were placed in a brace with their knees in extension post-operatively. In two cases the patients had casts applied, Moura et al [7] applied a cast post-operatively which was removed at day 3 before the patient was switched to a brace and Ho et al casted their patient two weeks post-operatively for a total of four weeks. Rehabilitation depends on surgeons preference and local policy [26] .…”

Bilateral patellar tendon rupture on lupus undergoing corticosteroids: a case report

“…It has been reported in SLE [3], rheumatoid arthritis [5], chronic renal failure [6], and primary hyperparathyroidism [7]. Moreover, cases have been reported in apparently healthy people [8], and during sports activities [9]. Treatments like CS [10], FQ [11] and statins [12] also predispose to BPTR.…”