Bilateral Simultaneous Rupture of the Quadriceps Tendon in a Healthy Elderly Woman: A Case Report
Abstract
Background: Quadriceps tendon ruptures are uncommon injury that affects middle-aged women, predominantly it affects middle aged men. However, the bilateral quadriceps tendon rupture is extremely rare in the absence of systemic disease.
Subjects and Method: We reported a case of bilateral quadriceps tendon rupture in a healthy 65 year old female. She felt pain in both knees since 4 months before entering the hospital. Local physical examination on both knees reveal the loss of normal contour of rectus femoris, tenderness at superior pole patella the ruptur site, and palpable defect within 2 cm of superior pole patella. Patient unable to extend knee against resistance, and unable to perform straight leg raise. The patient was carried out a surgical repair with consent.
Results: After the surgery both knees were immobilized with knee extension splint for 6 weeks. Patient evaluation revealed no pain and progressive recovery of muscular strength after four months and could be able to walk and returned to normal activity.
Conclusion: Surgery is needed to repair quadriceps rupture.
Keywords: Quadriceps tendon, quadriceps rupture, repair tendon.
Correspondence: Pamudji Utomo. Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: utomodr@yahoo.com.
Indonesian Journal of Medicine (2019), 4(1): 54-58
https://doi.org/10.26911/theijmed.2019.04.01.09
References
Clayton RA, Court-Brown CM (2008). The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury. 39(12):1338-44. doi: 10.1016/j.injury.2008.06.021 Crossref PubMed Google Scholar
Ennaciri B, Montbarbon E, Beaudouin E (2015). Surgical management of acute quadriceps tendon rupture (a case re-port with literature review). Pan Afr Med J. 22: 243. doi: 10.11604/pamj.2015.22.243.7533 Crossref PubMed Google Scholar
Ellanti P, Davarinos N, Morris S, Rice J (2012). Bilateral synchronous rupture of the quadriceps tendon. Ir J Med Sci. 181(3):423-5. doi: 10.1007/s11845-010-0596-x Crossref PubMed Google Scholar
Ellanti P, Moriarty A, Nagle M, McCarthy T (2016). Outcomes after quadriceps tendon repair in patient over 80 years of age. Muscle Ligaments Tendons J. 6(2):224-227.. doi: 10.11138/mltj/2016.6.2.224 Crossref PubMed Google Scholar
Ilan DI, Tejwani N, Keschner M, Leibman M (2003). Quadriceps tendon rupture. J Am Acad Orthop Surg. 11(3): 192-200. PubMed Google Scholar
Khaliq Y, Zhanel GG (2005). Musculoskeletal injury associated with fluoroqui-nolone antibiotics. Clin Plast Surg. 32(4):495–502. doi: 10.1016/j.cps.2005.05.004 Crossref PubMed Google Scholar
Levy M, Seelenfreund M, Maor P, Fried A, Lurie M (1971). Bilateral spontaneous and simultaneous rupture of the quadriceps tendons in gout. J Bone Joint Surg Br. 53(3): 510–513. PubMed Google Scholar
Lewis AC, Purushotham B, Power DM (2005). Bilateral simultaneous quadriceps tendon rupture in a body builder. Orthopedics. 28(7):701-2. PubMed Google Scholar
Maffulli N, Del Buono A, Spiezia F, Longo UG, Denaro V (2012). Light microscopic histology of quadriceps tendon ruptures. Int Orthop. 36(11): 2367–2371. doi: 10.1007/s00264-012-1637-z Crossref PubMed Google Scholar
Oliva F, GiaiVia A, Maffulli N (2012). Physiopathology of intratendinous calcific deposition. BMC Med. 10:95. doi: 10.1186/1741-7015-10-95 Crossref PubMed Google Scholar
Preston ET (1972). Avulsion of both quadriceps tendons in hyperparathyroidism. The Journal of the American Medical Association. 221(4): 406–407. doi: 10.1001/jama.1972.03200170050017 Crossref PubMed Google Scholar
Ramsey RH, Muller GE (1970). Quadriceps tendon rupture: a diagnostic trap.Clin Orthop Relat Res. 70: 161-4. Crossref PubMed Google Scholar
Senevirathna S, Radha S, Rajeev A (2011). Bilateral simultaneous rupture of the quadriceps tendon in a patient with psoriasis : a case report and review of the literature. J Med Case Reports. 5: 331. doi: 10.1186/1752-1947-5-331 Crossref PubMed Google Scholar
Shah MK (2002). Simultaneous bilateral rupture of quadriceps tendons: Analysis of risk factors and associations. South Med J. 95(8):860–866. PubMed Google Scholar
Tedd RJ, Norton MR, Thomas WG (2000). Bilateral simultaneous atraumatic quadriceps tendon ruptures associated with ‘pseudogout’ Injury. 31(6): 467–469. doi: 10.1016/s0020-1383-(00)00011-5. doi: 10.1016/S0020-1383(00)00011-5 Crossref PubMed Google Scholar
Zribi W, Zribi M, Guidara AR, Ben Jemaa M, Abid A, Krid N, Naceur A, Keskes H (2018). Spontaneous and simultaneous complete bilateral rupture of the quadriceps tendon in a patient receiving hemodialysis: A case report and literature review. World J Orthop. 9(9): 180-184. doi: 10.5312/wjo.v9.i9.180 Crossref PubMed Google Scholar