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Simultaneous Patellar, Quadriceps, and Triceps Tendon Ruptures in a Professional Male Bodybuilder After Low-Impact
Aditya D Patel1, Simbarashe J Peresuh1, Alex Hernandez Manriquez1
1Department of Orthopaedics, The Warren Alpert Medical School of Brown University; University Orthopedics Inc., Providence, RI.
Rhode Island Medical Journal (2013)
|May 27, 2026
Summary
Simultaneous rupture of three major tendons (quadriceps, patellar, triceps) occurred after low-energy trauma in a bodybuilder. Despite one tendon repair failure, functional recovery was good with coordinated surgical and rehabilitation care.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Simultaneous rupture of multiple major tendons is rare, usually linked to high-energy trauma or systemic disease.
- This case presents an unusual low-energy, three-tendon rupture (quadriceps, patellar, triceps) in a professional bodybuilder.
Purpose of the Study:
- To describe the management and outcome of a rare simultaneous multi-tendon rupture.
- To highlight the potential for functional recovery despite radiographic failure.
Main Methods:
- A 36-year-old professional bodybuilder underwent single-stage surgical repair for quadriceps, patellar, and triceps tendon ruptures.
- Transosseous fixation and suture anchor constructs were used, followed by a tailored rehabilitation protocol.
- Functional and radiographic outcomes were assessed over one year.
Main Results:
- Full range of motion and strength were achieved in the left quadriceps and right triceps tendons, allowing return to work.
- The right patellar tendon repair failed, resulting in proximal tendon discontinuity and patella alta.
- Despite repair failure, the patient maintained 5/5 quadriceps strength and no limitations in daily activities.
Conclusions:
- Simultaneous multi-tendon rupture can occur from low-energy trauma without systemic disease.
- Early diagnosis and coordinated surgical/rehabilitative management are crucial for functional recovery.
- Meaningful functional recovery is possible even with radiographic evidence of repair failure.
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