Spontaneous bilateral patellar tendon rupture: a case report and review of the literature

Moretti, Biagio; Notarnicola, Angela; Moretti, Luigi; Garofalo, Raffaele; Patella, Vittorio

doi:10.1007/s12306-007-0009-0

Cited by 19 publications

(23 citation statements)

References 20 publications

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“…Therefore, children should be at a high risk of strain-induced tendon injury. Paradoxically, however, the reported incidence of tendon injury is much lower in children than adults (Houshian et al, 1998;Moretti et al, 2008), which may reflect a degeneration with age or localised ''stress shielding'' in adult tendons .…”

Section: Tablementioning

confidence: 97%

Mechanical properties of the patellar tendon in adults and children

O’Brien

Reeves

Baltzopoulos

et al. 2010

Journal of Biomechanics

153

148

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Section: Tablementioning

confidence: 97%

Mechanical properties of the patellar tendon in adults and children

O’Brien

Reeves

Baltzopoulos

et al. 2010

Journal of Biomechanics

153

148

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“…For this reason, it is rare to find rupture of the tendon substance in children or adolescents. In the proximal region of the patellar ligament, the most common lesion is sleeve fracture, while in the distal region, we saw tibial tuberosity avulsion (12) . At our hospital, because it is a level I emergency hospital, we comorbidities, two with bilateral lesions, and four with associated lesions.…”

Section: Resultsmentioning

confidence: 83%

Estudo epidemiológico das rupturas tendinosas do mecanismo extensor do joelho em um hospital de nível I

Albuquerque¹,

Prado²,

Hara³

et al. 2012

Rev. bras. ortop.

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Objectives: The purpose of the present study was to review the epidemiological aspects of tendon ruptures of the knee extensor apparatus at a level 1 hospital. Methods: We retrospectively analyzed 76 lesions of the knee extensor apparatus that were treated surgically at the Miguel Couto Municipal Hospital between March 2004 and March 2011. We took into consideration age, sex, trauma mechanism, anatomical classification of the lesion, affected side, comorbidities and associated lesions. Results: Among the patients studied, 68 were male and the mean age was 36 years. Regarding the trauma mechanism, 62 lesions occurred due to direct trauma; the right side was affected in 21 cases; eight presented comorbidities and four presented associated lesions. Conclusion: The majority of the patients were male, at an economically active age (young people), and were victims of direct trauma. Ruptures of the patellar ligament were the most frequent lesions. Associated lesions were rare and comorbidities were infrequent in our sample.

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“…İhmal edilmiş patella ve kuadriseps tendon yırtıkları birlikte fakat farklı taraflarda bildirilmiştir. [3][4][5][6] Literatürde ihmal edilmiş patellar tendon ve kuadriseps tendon yırtıkları farklı yazarlar tarafından olgu sunumları şeklinde bildirilmiştir. [1,[7][8][9][10] Bu tendonların yırtıkları travma ve cerrahi komplikasyonlara bağlı olabildiği gibi lupus eritematozus, diyabet, kronik böbrek yetersizliği, romatolojik hastalıklar ve hiperparatiroidizm gibi sistemik hastalıklarda da görülebilir.…”

Section: Discussionunclassified

“…[1,[7][8][9][10] Bu tendonların yırtıkları travma ve cerrahi komplikasyonlara bağlı olabildiği gibi lupus eritematozus, diyabet, kronik böbrek yetersizliği, romatolojik hastalıklar ve hiperparatiroidizm gibi sistemik hastalıklarda da görülebilir. [1,[4][5][6][7]9] Bizim olgumuz travma sonrası ortaya çıkan patella kırığın-dan sonra uygulanan konservatif ve cerrahi tedavilerin komplikasyonu sonucu ortaya çıkmış kronik bir yaralanmadır. Literatürde gerek patellar tendon gerekse kuadriseps eski yırtıklarının tamirinde fasya lata, kuadriseps Z-plasti, Aşil tendon allogrefti, hamstring tendon, endobutton, çapa dikişler, patellar tendon otogrefti gibi birçok teknikler kullanılmıştır.…”

Section: Discussionunclassified

Neglected ipsilateral simultaneous ruptures of patellar and quadriceps tendon

Karahasanoğlu

Yoloğlu

Kerimoğlu

et al. 2015

Eklem Hastalik Cerrahisi

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ÖZİhmal edilmiş patellar ve kuadriseps tendon yırtığı nadir bir yaralanmadır fakat aynı taraflı aynı anda olan patellar ve kuadriseps tendon rüptürü bizim bilgimize göre literatürde açıklanmamıştır. Bu yazıda, ihmal edilmiş aynı taraflı patellar ve kuadriseps tendon rüptürleri olan ve peroneus longus tendon otogrefti ile tedavi edilen 40 yaşında sağlıklı bir erkek hasta sunuldu. Kliniğimize başvurmadan önce hasta patella kırığı nedeniyle bazı konservatif ve cerrahi tedaviler görmüştü. Peroneus longus otogrefti ve interferens çivileri kullanarak uyguladığımız tedavinin sonrasında, hasta altı hafta silindirik alçı ile immobilize edildi. Fleksiyon egzersizlerine ve tam yükle bastırmaya alçının çıkarılmasından sonra başlandı. Ameliyat sonrası ikinci yılda hastanın herhangi bir yakınması yoktu. Hasta ihmal edilmiş bir olguydu. Cerrahi tamir ve erken rehabilitasyon tatmin edici bir sonuca ulaşmamızı sağladı.Anahtar sözcükler: Diz eklemi; ligamentum patellar; kuadriseps kası; tendon yaralanmaları. ABSTRACTNeglected patellar and quadriceps tendon rupture is a rare injury, but ipsilateral simultaneous patellar and quadriceps tendon rupture was not described in the literature to our knowledge. In this article, we report a 40-year-old healthy male patient with neglected ipsilateral patellar and quadriceps tendon ruptures treated by peroneus longus tendon autograft. Patient had received some conservative and surgical treatments for patellar fracture before applying to our clinic. After our treatment using peroneus longus autograft and interference nails, patient was immobilized for six weeks in cylindrical cast. Flexion exercises and full weight bearing were started after cast removal. Patient had no complaint at postoperative second year. Patient was a neglected case. Surgical repair and early rehabilitation enabled us to achieve a satisfactory outcome.

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Spontaneous bilateral patellar tendon rupture: a case report and review of the literature

Cited by 19 publications

References 20 publications

Mechanical properties of the patellar tendon in adults and children

Mechanical properties of the patellar tendon in adults and children

Estudo epidemiológico das rupturas tendinosas do mecanismo extensor do joelho em um hospital de nível I

Neglected ipsilateral simultaneous ruptures of patellar and quadriceps tendon

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