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Related Experiment Video

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Evaluation of Stem Cell Therapies in a Bilateral Patellar Tendon Injury Model in Rats

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Bilateral Atraumatic Patellar Ligament Rupture-Case Report.

Raul Hernandez Juliato¹, Luis Henrique Boschi¹, Raul Francisco Juliato¹

¹Hospital São Domingos-Unimed, Catanduva, SP, Brasil.

Revista Brasileira De Ortopedia

|August 1, 2019

Summary

Bilateral atraumatic patellar ligament rupture is rare, often linked to systemic conditions and medications. This case highlights successful surgical repair in a patient with obesity, diabetes, and corticosteroid use.

Keywords:

histology knee/surgery patellar ligament

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Published on: September 2, 2025

Area of Science:

Orthopedics
Rheumatology
Sports Medicine

Background:

Bilateral atraumatic patellar ligament rupture is a rare clinical presentation.
Often associated with systemic diseases (e.g., autoimmune disorders) and medications (e.g., corticosteroids, fluoroquinolones).
Chronic inflammation and degeneration contribute to ligamentous compromise.

Observation:

A 43-year-old male with obesity, type 2 diabetes mellitus, and Wegener granulomatosis treated with systemic corticosteroids presented with bilateral atraumatic patellar ligament rupture.
Histological examination confirmed chronic degenerative and inflammatory changes in the patellar ligaments.
Surgical intervention involved primary ligament repair augmented with semitendinous tendon graft due to compromised tissue quality.

Findings:

The patient demonstrated satisfactory clinical evolution 1 year post-surgery.
Full range of motion was regained.
The patient returned to his usual activities without any sequelae.

Implications:

This case underscores the importance of considering systemic factors and medication history in atraumatic ligament ruptures.
Surgical repair with augmentation can yield successful outcomes even in cases with compromised ligamentous tissue.
Highlights the potential iatrogenic effects of systemic corticosteroids on connective tissues.