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Bilateral Quadriceps Tendon Rupture in a Healthy Individual Following a Motor Vehicle Accident: A Case Report

Overview
Journal Cureus
Date 2023 Apr 17
PMID 37065394
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Abstract

Bilateral quadriceps tendon rupture (QTR) is a rare injury that typically affects middle-aged men presenting underlying medical conditions, while only a few cases have been reported in healthy individuals. The gold standard treatment of such injuries is prompt surgical repair, followed by postoperative immobilization and physiotherapy. We present the case of a 51-year-old previously healthy man who experienced bilateral, simultaneous, and complete QTR following a high-velocity motor vehicle accident. Physical examination revealed bilateral extensor mechanism disruption and palpable defects at the superior poles of the patellae. MRI confirmed the diagnosis, and the patient underwent surgical repair using three anchor sutures on each side. Postoperative management involved a brief period of immobilization followed by progressive passive motion exercises and protected weight bearing. At a six-month follow-up, the patient had excellent functional outcomes and was satisfied with the treatment.

References
1.
Steiner C, PALMER L . Simultaneous bilateral rupture of the quadriceps tendon. Am J Surg. 1949; 78(5):752-5. DOI: 10.1016/0002-9610(49)90317-7. View

2.
Elhessy A, Alrabai H, Eltayeby H, Gesheff M, Conway J . Chronic Quadriceps Tendon Rupture Reconstruction with Sartorius Muscle Transfer: A Report of Five Cases. Plast Reconstr Surg Glob Open. 2021; 9(8):e3785. PMC: 8382444. DOI: 10.1097/GOX.0000000000003785. View

3.
Neubauer T, Wagner M, Potschka T, Riedl M . 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. 2006; 15(1):43-53. DOI: 10.1007/s00167-006-0133-7. View

4.
Ellanti P, Moriarity A, Wainberg N, Ni Fhoghlu C, McCarthy T . Association between patella spurs and quadriceps tendon ruptures. Muscles Ligaments Tendons J. 2015; 5(2):88-91. PMC: 4496023. View

5.
Scuderi C . Ruptures of the quadriceps tendon; study of twenty tendon ruptures. Am J Surg. 1958; 95(4):626-34. DOI: 10.1016/0002-9610(58)90444-6. View