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Updated: Sep 23, 2025

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Using Q Suture to Enhance Resistance to Gap Formation and Tensile Strength of Repaired Flexor Tendons
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Quinolone-induced Biceps Tendon Rupture
R Crawford1, A Gallagher1, C Devine2
1Department of Medicine, Bon Secours Hospital, Glasnevin.
Irish Medical Journal
|May 16, 2022
Summary
Quinolone antibiotics can cause rare but serious tendon ruptures. This case report emphasizes considering this risk in patients with acute limb pain after quinolone exposure.
Area of Science:
- Orthopaedics
- Pharmacology
Background:
- Tendon rupture is a known adverse effect associated with fluoroquinolone antibiotic use.
- Early identification and management are crucial for favorable outcomes.
Observation:
- A 76-year-old male presented with acute left upper limb pain and ecchymosis.
- Ultrasound revealed a partial left biceps tendon rupture.
Findings:
- Conservative management, including analgesia and reassurance, was initiated.
- The patient's symptoms were attributed to a quinolone-induced tendon injury.
Implications:
- This case underscores the importance of considering quinolone-induced tendon rupture in the differential diagnosis of acute limb pain.
- Clinicians should maintain a high index of suspicion in patients prescribed these antibiotics.
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