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Related Experiment Videos

Outcomes in bilateral and simultaneous quadriceps tendon rupture.

Mrugeshkumar K Shah1

  • 1Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Mass, USA.

Orthopedics
|August 27, 2003
PubMed
Summary

This review of quadriceps tendon ruptures found that patient age and multiple risk factors, including diabetes, significantly impact outcomes. Surgical repair is common, but specific injury details did not strongly correlate with results.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Trauma Research

Background:

  • Simultaneous and bilateral quadriceps tendon ruptures are rare but severe injuries.
  • Understanding predisposing factors and outcomes is crucial for patient management.

Purpose of the Study:

  • To analyze factors influencing outcomes in patients with simultaneous and bilateral quadriceps tendon ruptures.
  • To identify key predictors of successful surgical repair and recovery.

Main Methods:

  • Systematic review of 55 case reports involving simultaneous and bilateral quadriceps tendon ruptures.
  • Analysis of patient demographics, injury mechanisms, medical comorbidities, treatment, and outcomes.

Main Results:

  • The average patient age was 52 years, with 82% being male.

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  • 76% had predisposing medical conditions; 32% had multiple risk factors.
  • Falls caused 72% of injuries, often at the osseotendinous junction (60%).
  • Age, multiple risk factors, and conditions like diabetes were linked to outcomes.
  • Gender, injury mechanism, tear location, and repair time showed no significant outcome correlation.

    • Conclusions:

    • Patient age and the presence of multiple risk factors, particularly diabetes and endocrine diseases, are significant predictors of outcomes in quadriceps tendon ruptures.
    • While surgical intervention is standard, focusing on patient-specific risk factors is essential for optimizing recovery and managing expectations.