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Simultaneous bilateral patellar tendon rupture without predisposing systemic disease or steroid use: a case report
Hua-Ding Lu1, Dao-Zhang Cai, Kun Wang
1Department of Orthopedics, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi
|February 4, 2012
Summary
Simultaneous bilateral patellar tendon ruptures are rare, especially without underlying health issues. This case report details a successful surgical repair in a young athlete, highlighting potential contributing factors like intense sports activity and high BMI.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Simultaneous bilateral patellar tendon ruptures are uncommon.
- Often associated with systemic conditions (e.g., lupus erythematosus) or chronic steroid use.
- Limited case reports exist in medical literature.
Observation:
- A 24-year-old male presented with traumatic bilateral patellar tendon ruptures.
- No history of systemic disease or steroidal medication was reported.
- Patient had a history of intense sports activity and a high body mass index.
Findings:
- Surgical repair involved reattachment of ruptured tendons to the patella.
- Augmentation with allogeneic tendon and wire loop reinforcement was performed.
- One-year post-operation, the patient achieved satisfactory knee range of motion and quadriceps strength without extensor lag.
Implications:
- Recurrent microtrauma from intense sports and high BMI may contribute to such injuries.
- This case expands understanding of traumatic bilateral patellar tendon ruptures.
- Successful surgical outcomes are achievable even in complex cases.
