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Quadriceps tendon rupture.

Doron I Ilan1, Nirmal Tejwani, Mitchell Keschner

  • 1Department of Orthopaedic Surgery, NYU-Hospital for Joint Diseases, New York, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|June 28, 2003
PubMed
Summary
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Quadriceps tendon rupture is a serious injury, often seen in older adults. Prompt diagnosis and surgical repair are crucial for complete tears to ensure the best outcomes.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Quadriceps tendon rupture is an uncommon but severe injury.
  • It predominantly affects individuals over 40 years old.
  • Associated medical conditions include gout, diabetes, and steroid use, particularly in bilateral cases.

Purpose of the Study:

  • To review the diagnosis and management of quadriceps tendon ruptures.
  • To highlight the importance of early surgical intervention for complete tears.

Main Methods:

  • Clinical findings review, including pain, impaired knee extension, and suprapatellar gap.
  • Discussion of the role of imaging studies in diagnosis.
  • Analysis of treatment options for incomplete versus complete ruptures.

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Main Results:

  • The classic presentation involves acute pain, inability to extend the knee, and a palpable gap above the kneecap.
  • Imaging modalities aid in confirming the diagnosis.
  • Incomplete tears may be managed non-surgically, while complete ruptures necessitate surgical repair.

Conclusions:

  • Early diagnosis and surgical management are essential for quadriceps tendon ruptures.
  • Surgical repair is the preferred treatment for complete ruptures.
  • Understanding associated risk factors can aid in prevention and management.