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Bilateral simultaneous rupture of the quadriceps tendons
Clinical Orthopaedics and Related Research
|March 1, 1978
Summary
Bilateral simultaneous quadriceps tendon rupture is exceptionally rare, especially in older adults. Surgical repair and intensive physical therapy can lead to excellent outcomes, even in elderly patients.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Geriatric Medicine
Background:
- Bilateral simultaneous quadriceps tendon rupture is an exceedingly rare injury.
- Such injuries are often associated with minimal preceding stress on the extensor mechanism.
Observation:
- A case of bilateral simultaneous quadriceps tendon rupture in an 82-year-old male patient is presented.
- The ruptures occurred following only minor stress to the extensor mechanisms.
Findings:
- Surgical repair using interrupted mattress sutures successfully restored muscle continuity and function.
- A "pull-out" wire system was deemed unnecessary due to sufficient tissue mass for approximation.
- The patient achieved excellent functional results following intensive postoperative physical therapy.
Implications:
- This case suggests that advanced age should not preclude surgical intervention for carefully selected patients with bilateral quadriceps tendon rupture.
- Successful surgical management and rehabilitation are crucial for optimal outcomes in this rare injury.
- Further case reports may elucidate the specific predisposing factors and optimal management strategies for this condition.