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Spontaneous bilateral quadriceps tendon rupture: a case report.

Kelechukwu Mc'Clement Onuoha1, Olubukola Khadija Ajiboye1, Rajeev Kumar1

  • 1Cedarcrest Hospitals Abuja, Abuja, Nigeria.

The Pan African Medical Journal
|November 27, 2020
PubMed
Summary

Spontaneous bilateral quadriceps tendon rupture is a rare injury. This case highlights a simultaneous rupture in a healthy individual without trauma, emphasizing the need for high suspicion in diagnosis.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Traumatology

Background:

  • Quadriceps tendon rupture is uncommon, typically affecting middle-aged athletes after exertion.
  • Bilateral ruptures are rarer and often linked to chronic conditions or medication use.
  • Spontaneous ruptures without trauma are exceptionally rare.

Observation:

  • A 60-year-old healthy male presented with simultaneous bilateral quadriceps tendon rupture.
  • The patient had no history of trauma, underlying medical conditions, or relevant medication use.
  • This presentation is highly unusual, as spontaneous bilateral ruptures typically have associated risk factors.

Findings:

  • The case report details an unprecedented instance of spontaneous bilateral quadriceps tendon rupture in a healthy individual.
Keywords:
Quadriceps tendon ruptureproximal myopathytransosseous

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  • Diagnostic and management strategies for such rare injuries require a high index of suspicion.
  • Successful surgical repair and physiotherapy led to full recovery and discharge.
  • Implications:

    • This case expands the understanding of quadriceps tendon rupture etiology.
    • It underscores the importance of considering spontaneous bilateral rupture even in the absence of typical risk factors.
    • Early diagnosis and prompt management are crucial for optimal patient outcomes in rare tendon injuries.