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Dong H, Yang J, Yu H, Zhu J, Yang J. Rebuilding strength: surgical intervention and rehabilitation for bilateral spontaneous quadriceps tendon rupture-a case report. Front Surg 2024; 11:1430774. [PMID: 39092149 PMCID: PMC11291324 DOI: 10.3389/fsurg.2024.1430774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Accepted: 07/03/2024] [Indexed: 08/04/2024] Open
Abstract
The quadriceps tendon, crucial for body movement, is among the body's strongest tendons. Factors like diabetes or hormone use can weaken it, making even minor trauma potentially causing rupture. Bilateral spontaneous quadriceps tendon rupture, where both tendons tear simultaneously, is rare. Prompt diagnosis and treatment are crucial. We present a case of a 44-year-old woman who experienced bilateral rupture after falling while doing chores. She had immediate pain and limited knee movement. Diagnosis via physical examination and CT/MRI scans confirmed the rupture. Surgical repair followed by rehabilitation led to significant pain reduction and improved function within two months. Overall, her postoperative outcome was satisfactory. This study underscores the importance of clear diagnosis, timely surgery, and thorough rehabilitation for optimal patient recovery from bilateral quadriceps tendon rupture.
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Affiliation(s)
| | | | | | | | - Jibin Yang
- Department of Orthopedic Surgery, Affiliated Hospital of Zunyi Medical University, Guizhou, China
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González Martín L, Abenza Abildua M, Almarcha Menargues M, Martínez Brandulas P. La rotura del tendón cuadricipital bilateral como causa inhabitual de paraparesia aguda. Neurologia 2022. [DOI: 10.1016/j.nrl.2021.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Lateral Circumflex Femoral Vascular Chimeric Fascia Flap Reduces Pain and Promotes Wound Healing in Repairing Skin and Tendon Defects of Hand, Foot, and Ankle. CONTRAST MEDIA & MOLECULAR IMAGING 2022; 2022:2874332. [PMID: 35992542 PMCID: PMC9356846 DOI: 10.1155/2022/2874332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Revised: 07/01/2022] [Accepted: 07/05/2022] [Indexed: 11/25/2022]
Abstract
The purpose of this study was to investigate the clinical efficacy of lateral circumflex femoral artery embedded with fascia lata flap in the repair of skin and tendon defects in hand, foot, and ankle. From January 2020 to June 2021, 32 patients with skin and tendon defects of the hand, foot, and ankle admitted to our hospital were selected as the study subjects. According to the random number table method, they were divided into the observation group (16 cases, treated with rotational lateral femoral vascular inlay broad fascial flap repair) and the control group (16 cases, treated with conventional skin flap repair) and followed up for 6 months. The postoperative tendon midactivity measurement scale (TAM), ankle-hindfoot scoring system (AOFAS), and lower limb functional evaluation scale (LEFS) scores were all higher in the observer group than in the control group The number of people with infection, implant necrosis, and subcutaneous hematoma in the observation group (total incidence 6.25%) was less (lower) than that in the control group (50.00%), and the total number of people with significant and fair clinical efficacy in the observation group (total effective rate 100.00%) was more (higher) than that in the control group (68.75%). The application of early plastic surgery to the clinical treatment of patients with deep burns on the hand can reduce the patient's pain and promote the healing of the wound. It is of great significance to reduce the risk of complications such as necrosis of the skin graft and improve the efficacy of the surgery.
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González Martín L, Abenza Abildua M, Almarcha Menargues M, Martínez Brandulas P. Bilateral quadriceps tendon rupture as unusual cause of acute paraparesis. NEUROLOGÍA (ENGLISH EDITION) 2022; 37:606-608. [DOI: 10.1016/j.nrleng.2021.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 11/11/2021] [Indexed: 10/18/2022] Open
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DePalma BJ, Costales TG, Schneider MB, Henn RF. Bilateral Extensor Mechanism Allograft Reconstruction in Native Knees: A Case Report. JBJS Case Connect 2022; 12:01709767-202203000-00031. [PMID: 35081064 DOI: 10.2106/jbjs.cc.21.00322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
CASE A 66-year-old man presented with chronic bilateral extensor mechanism dysfunction and profound patella baja after failed revision surgery for bilateral quadriceps tendon ruptures. Staged bilateral reconstruction with complete extensor mechanism allograft resulted in excellent two-year satisfaction and clinical outcomes. CONCLUSION Complete extensor mechanism reconstruction can be a successful treatment for chronic quadriceps tendon rupture with profound patella baja.
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Affiliation(s)
- Brian J DePalma
- Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland
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Panagopoulos A, Kalavrytinos D, Giannatos V, Tatani I, Kouzelis A, Kokkalis Z. Early, Bilateral Re-Rupture of Quadriceps Tendon After Previous Bone-Anchor Repair for Simultaneous, Low-Energy, Bilateral Quadriceps Rupture: A Case Report and Literature Review. AMERICAN JOURNAL OF CASE REPORTS 2021; 22:e932723. [PMID: 34857727 PMCID: PMC8653756 DOI: 10.12659/ajcr.932723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Patient: Male, 42-year-old
Final Diagnosis: Bilateral quadriceps tendon re-rupture
Symptoms: Disability • pain
Medication: —
Clinical Procedure: —
Specialty: Orthopedics and Traumatology
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Affiliation(s)
| | | | | | - Irini Tatani
- Department of Orthopaedics, Patras University Hospital, Patras, Greece
| | - Antonis Kouzelis
- Department of Orthopaedics, Patras University Hospital, Patras, Greece
| | - Zinon Kokkalis
- Department of Orthopaedics, Patras University Hospital, Patras, Greece
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Radaideh AM, Audat ZA, Sunallah AW, Bani-Younes HM, Obeidat O. A Simultaneous Rupture of the Patellar Tendon and the Con-tralateral Quadriceps Tendon in a Patient with Chronic Renal Failure Undergoing Long Term Hemodialysis. Med Arch 2021; 75:317-320. [PMID: 34759455 PMCID: PMC8563030 DOI: 10.5455/medarh.2021.75.317-320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Accepted: 08/23/2021] [Indexed: 12/03/2022] Open
Abstract
Background: Quadriceps or patellar tendon rupture incidence is relatively low, especially simultaneous bilateral rupture, which usually reported as a complication of chronic systemic disorders such as renal failure. Objective: Herein, we report a case of bilateral knee extensor mechanism ruptured in a patient with chronic renal failure on long standing hemodialysis. Case presentation: A 38-year-old white male, a known case of chronic renal failure on long term hemodialysis, presented to our clinic with clinical signs of bilateral simultaneous knee extensor tendons rupture. After proper workup simultaneous quadriceps and contralateral patellar tendons rupture diagnosis was made. The patient was managed with surgical repair of the tendons and within few days after the surgery he started physiotherapy and rehabilitation program, using walking crutches partial weight bearing mobilization was allowed, and a gradual increase of knee flexion within brace was applied. He used the knee braces and the walking crutches for two months, to ensure complete healing of the repaired tendon with a sufficient strength to allow full weight bearing. At four-year follow-up, complete bilateral knee extensor tendons healing and both knees functional outcome was satisfactory. Conclusion: A simultaneous rupture of quadriceps and contralateral patellar tendons is a rare event in patients with chronic renal failure undergoing long term hemodialysis. With early surgical intervention and good physiotherapy, the patient usually has good recovery of both knees function.
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Affiliation(s)
- Ahmad M Radaideh
- Department of Special Surgery, Orthopaedic Division, Jordan University of Science and Technology, Irbid, Jordan
| | - Ziad A Audat
- Department of Special Surgery, Orthopaedic Division, Jordan University of Science and Technology, Irbid, Jordan
| | - Abdulkarim W Sunallah
- Department of Special Surgery, Orthopaedic Division, Jordan University of Science and Technology, Irbid, Jordan
| | - Hamza M Bani-Younes
- Department of Special Surgery, Orthopaedic Division, Jordan University of Science and Technology, Irbid, Jordan
| | - Omar Obeidat
- Department of Special Surgery, Orthopaedic Division, Jordan University of Science and Technology, Irbid, Jordan
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Zhang H, Lin Z, Zhong J, Nie D, Gao S, Zhang J. Spontaneous rupture of the right quadriceps tendon in a patient undergoing long-term hemodialysis: a case report. J Int Med Res 2020; 48:300060520959221. [PMID: 33108228 PMCID: PMC7607139 DOI: 10.1177/0300060520959221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Spontaneous unilateral quadriceps tendon rupture is an uncommon injury that is generally associated with chronic kidney disease and metabolic disorders. The current case involved a 50-year-old man with a painful right knee that he was unable to extend as a result of minor trauma sustained in an accident. Physical examination combined with radiographic and ultrasonographic investigations led to a diagnosis of quadriceps tendon rupture of the right knee. The patient had a 7-year history of hemodialysis for treatment of chronic kidney disease, leading to secondary hyperparathyroidism. He underwent successful tendon repair surgery, and his right knee was immobilized with splints for 6 weeks postoperatively. He gradually resumed full weight bearing and then normal walking.
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Affiliation(s)
- Hongjie Zhang
- Department of Orthopedics, Fujian Provincial 2nd People's Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Zengping Lin
- Department of Orthopedics, Fujian Provincial 2nd People's Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Jiping Zhong
- Department of Orthopedics, Fujian Provincial 2nd People's Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Darong Nie
- Department of Orthopedics, Fujian Provincial 2nd People's Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Shan Gao
- Department of Orthopedics, Fujian Provincial 2nd People's Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Jiafang Zhang
- Department of Orthopedics, Fujian Provincial 2nd People's Hospital, Affiliated Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, China
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Tao Z, Liu W, Ma W, Luo P, Zhi S, Zhou R. A simultaneous bilateral quadriceps and patellar tendons rupture in patients with chronic kidney disease undergoing long-term hemodialysis: a case report. BMC Musculoskelet Disord 2020; 21:179. [PMID: 32192478 PMCID: PMC7082945 DOI: 10.1186/s12891-020-03204-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 03/11/2020] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND The incidence of rupture of the quadriceps or patellar tendon s is low, especially that of bilateral quadriceps tendon rupture, and it is generally considered a complication secondary to chronic systemic disorders. We report two rare cases of simultaneous bilateral tendon rupture affecting the extensor function of the knee in patients with chronic kidney disease who have been treated with long-term haemodialysis. CASE PRESENTATION Two young males with a history of chronic kidney disease who were being treated with long-term haemodialysis presented to our hospital with clinical signs of disruption of the extensor mechanism of the knee. One patient was diagnosed with bilateral quadriceps tendon rupture, and the other patient had bilateral patellar tendon rupture. They underwent surgical repair of the tendons, and their knees were actively mobilized during physiotherapy. CONCLUSION Bilateral quadriceps or patellar tendons rupture is a rare occurrence in patients with chronic kidney disease who are being treated with long-term haemodialysis. Timely surgical treatment and scientific physiotherapy can lead to good recovery of knee joint function.
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Affiliation(s)
- Zhengbo Tao
- Department of Orthopaedics, First Hospital of China Medical University, 155 Nan Jing North Street, Shenyang, 110001, Liaoning, China
| | - Wenbo Liu
- Department of Orthopaedics, First Hospital of China Medical University, 155 Nan Jing North Street, Shenyang, 110001, Liaoning, China
| | - Weifeng Ma
- Department of Orthopaedics, First Hospital of China Medical University, 155 Nan Jing North Street, Shenyang, 110001, Liaoning, China
| | - Peng Luo
- Department of Orthopaedics, First Hospital of China Medical University, 155 Nan Jing North Street, Shenyang, 110001, Liaoning, China
| | - Shengpeng Zhi
- Department of Orthopaedics, First Hospital of China Medical University, 155 Nan Jing North Street, Shenyang, 110001, Liaoning, China
| | - Renyi Zhou
- Department of Orthopaedics, First Hospital of China Medical University, 155 Nan Jing North Street, Shenyang, 110001, Liaoning, China.
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