Bilateral, traumatic rupture of the quadriceps tendon – a physiotherapeutic pitfall and case report
Authors:
Jančíková V. 1,2; Dráč- P. 3 5; Schusterová B. 1
Authors‘ workplace:
Rehabilitační oddělení, FN Olomouc
1; Ústav klinické rehabilitace, Fakulta zdravotnických věd, Univerzita Palackého v Olomouci
2; Traumatologická klinika, FN Olomouc
3; Lékařská fakulta, Univerzita Palackého v Olomouci
4; Ústav zdravotnického záchranářství a intenzivní péče, Fakulta zdravotnických věd, Univerzita Palackého v Olomouci
5
Published in:
Rehabil. fyz. Lék., 28, 2021, No. 3, pp. 139-142.
Category:
Case Report
doi:
https://doi.org/10.48095/ccrhfl2021139
Overview
Bilateral, simultaneous rupture of the quadriceps tendon is very rare. It is serious damage of the extension apparatus of the knee joint that requires prompt diagnosis and surgical repair. Predisposition to this injury may be caused by degenerative changes due to another disease. It may be associated with diabetes mellitus, obesity, gout, chronic renal failure or chronic use of steroids. Clinical findings typically include the triad of acute pain, inability to extend the knee actively and suprapatellar gap. Complete ruptures are best treated with early surgical repair. In our opinion the quality of postoperative physiotherapy contributes considerably to the final outcome. The main goal of this paper is to point out the rare traumatic injuries of the extensor apparatus of both knees with an overview of relevant information from the available literature and the presentation of the methodology of kinesiotherapy after this type of injury. The case report is with the diagnosis of bilateral quadriceps tendon rupture. He was treated surgically. The tendons were refixed. He walked early with a symmetrical load on his lower limbs. Both legs were immobilised for 5 weeks postoperatively. He completed inpatient rehabilitation and then returned to his pre-traumatic functional level.
Keywords:
Physiotherapy – tendinopathy – knee trauma
Sources
- Hladký V, Havlas V. Simultaneous traumatic rupture of patellar ligament and contralateral rupture of quadriceps femoris muscle. Acta Chir Orthop Traumatol Cech 2017; 84(1): 70–73.
- Lim CHL, Landon KJ, Chan GM. Bilateral quadriceps femoris tendon rupture in a patient with chronic renal insufficiency: a case report. J Emerg Med 2016; 51(4): e85–e87. doi: 10.1016/j.jemermed.2016.05.063.
- Zribi W, Zribi M, Guidara AR et al. Spontaneous and simultaneous complete bilateral rupture of the quadriceps tendon in a patient receiving hemodialysis: a case report and literature review. World J Orthop 2019; 9(9): 180–184. doi: 10.5312/wjo.v9.i9.180.
- Ilan DI, Tejwani N, Keschner M et al. Quadriceps tendon rupture. J Am Acad Orthop Surg 2003; 11(3): 192–200. doi: 10.5435/00124635-200305000-00006.
- Weiqian W, Chongyang W, Jianwei R et al. Simultaneous spontaneous bilateral quadriceps tendon rupture with secondary hyperparathyroidism in a patient receiving hemodialysis: a case report. Medicine (Baltimore) 2018; 98(10): e14809. doi: 10.1097/MD.0000000000014809.
- Steiner CA, Palmer LH. Simultaneous bilateral rupture of quadriceps tendon. Am J Surg 1949; 78(5): 752–755. doi: 10.1016/0002-9610(49)90317-7.
- Nomura E, Inoue M, Osada N. Anatomical analysis of the medial patellofemoral ligament of the knee, especially the femoral attachment. Knee Surg Sports Traumatol Arthrosc 2005; 13(7): 510–515. doi: 10.1007/s00167-004-0607-4.
- Huberti HH, Hayes WC, Stone JL et al. Force ratios in the quadriceps tendon and ligamentum patellae. J Orthop Res 1984; 2(1): 49–54.
- Neubauer T, Wagner M, Potschka T et al. Bilateral, simultaneous rupture of the quadriceps tendon: a diagnostic pitfall? Report of three cases and meta-analysis of the literature. Knee Surg Sports Traumatol Arthrosc 2007; 15(1): 43–53. doi: 10.1007/s00167-006-0133-7.
- O’Shea K, Kenny P, Donovan J et al. Outcomes following quadriceps tendon ruptures. Injury 2002; 33(3): 257–260. doi: 10.1016/s0020-1383(01)00110-3.
- Zhengbo T, Wenbo L, Weifeng M et al. A simultaneous bilateral quadriceps and patellar tendons rupture in patients with chronic kidney disease undergoing long-term hemodialysis: a case report. BMC Musculoskelet Disord; 21(1): 179. doi: 10.1186/s12891-020-03204-6.
- Yilmaz C, Binnet MS, Narman S. Tendon lengthening repair and early mobilization in treatment of neglected bilateral simultaneous traumatic rupture of the quadriceps tendon. Knee Surg Sports Traumatol Arthrosc 2001; 9(3): 163–166. doi: 10.1007/s001670000187.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2021 Issue 3
Most read in this issue
- Profile of the profession of occupational therapy in the Czech Republic
- Bilateral, traumatic rupture of the quadriceps tendon – a physiotherapeutic pitfall and case report
- The use of meridian exercises in physiotherapy of non-specific back pain
- Influence of the Träbert current on the autonomic nervous system, evaluated by parameters of time and spectral analysis of heart rate variability in healthy probands