Quadriceps Tendon Ruptures: Current Landscape of Treatment - A Survey Comparison Study of Canadian and American Surgeons

OrthoMedia ◽  
2021 ◽  
2014 ◽  
Vol 42 (2) ◽  
pp. 114-118 ◽  
Author(s):  
Edward S. Chang ◽  
Christopher C. Dodson ◽  
Fotios Tjoumakaris ◽  
Steven B. Cohen

Author(s):  
John-Henry Rhind ◽  
Patrick Lancaster ◽  
Usman Ahmed ◽  
Michael Carmont

Ruptures of the extensor mechanism of the knee are serious injuries requiring prompt diagnosis and treatment. They can be divided into soft tissue and bony causes. Soft tissue tendon injuries can be either partial or complete. Rupture of the quadriceps tendon is an uncommon injury and is more frequent in patients over the age of 40 years. Patella tendon ruptures are even rarer and are more frequent in patients under the age of 40 years. Causes can be direct or indirect. Complete ruptures of the quadriceps tendon or patella tendon benefit from early surgical management, while partial ruptures may be managed non-operatively. This article gives an overview of the presentation, assessment and management of soft tissue extensor mechanism tendon ruptures for core surgical, acute care common stem and emergency medicine trainees.


2007 ◽  
Vol 35 (8) ◽  
pp. 1308-1314 ◽  
Author(s):  
Daniel W. White ◽  
Joseph C. Wenke ◽  
Dan S. Mosely ◽  
Sally B. Mountcastle ◽  
Carl J. Basamania

Background Although a rare event, the prevalence of major tendon rupture has increased in recent decades. Identification of risk factors is important for prevention purposes. Hypothesis Race is a risk factor for major tendon ruptures. Study Design Cohort study (prevalence); Level of evidence, 2. Methods All patients admitted for surgical management of a rupture of a major tendon at Womack Army Medical Center, Fort Bragg, North Carolina, in 1995 and 1996 were identified and evaluated for risk factors. Results The authors identified 52 major tendon ruptures 29 Achilles, 12 patellar, 7 pectoralis major, and 4 quadriceps tendon ruptures. All patients were active-duty soldiers, and 1 was a female soldier. Forty-one tendon ruptures occurred among black soldiers, 8 occurred among white soldiers, and 3 occurred among Latino soldiers. The population at risk included 93 224 exposures during the 2-year period, of which 67.1% were white, 24.5% were black, and 8.4% were self-classified as other race. The rate ratio for tendon rupture, adjusted for gender and age, was 13.3 (95% confidence interval, 6.2-28.5) between blacks and whites and 2.9 (95% confidence interval, 0.8-10.9) between Latinos and whites. Conclusion The rate of major tendon rupture was 13 times greater for black men in this study population when compared with whites. Interventions among those at a higher risk for injury should be considered.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Fahad H. Abduljabbar ◽  
Abdulaziz Aljurayyan ◽  
Bayan Ghalimah ◽  
Lawrence Lincoln

Introduction. Simultaneous bilateral quadriceps tendon ruptures (SBQTR) are uncommon knee injuries and most frequently occur in male patients, over 50 years of age. It can be associated with one or more predisposing risk factors like obesity, steroids use, and hyperparathyroidism. The main focus of this paper is to review SBQTR in obese patients. Case Report. We are reporting the youngest patient in the literature to date, a 24-year-old obese male patient, who presented to the emergency department complaining of bilateral knee pain and inability to walk after a fall during a basketball game. His clinical examination revealed the presence of a palpable suprapatellar gap and loss of knee extension bilaterally. Magnetic resonance imaging (MRI) confirmed that both of his quadriceps tendons were ruptured. A day after his diagnosis, the patient underwent successful operative repair followed by rehabilitation. At the two-year follow-up, the patient had full strength of both quadriceps muscles with no extension lag. Conclusion. The diagnosis of SBQTR can be challenging. Early diagnosis and treatment are associated with better functional outcome compared to delayed treatment. Physicians should have a high index of clinical suspicion in order not to miss such an injury and achieve favourable outcomes.


2014 ◽  
Vol 22 (3) ◽  
pp. 285-303 ◽  
Author(s):  
Stephen Ansolabehere ◽  
Brian F. Schaffner

In this article, we present data from a three-mode survey comparison study carried out in 2010. National surveys were fielded at the same time over the Internet (using an opt-in Internet panel), by telephone with live interviews (using a national Random Digit Dialing (RDD) sample of landlines and cell phones), and by mail (using a national sample of residential addresses). Each survey utilized a nearly identical questionnaire soliciting information across a range of political and social indicators, many of which can be validated with government data. Comparing the findings from the modes using a Total Survey Error approach, we demonstrate that a carefully executed opt-in Internet panel produces estimates that are as accurate as a telephone survey and that the two modes differ little in their estimates of other political indicators and their correlates.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Jean G. Louka ◽  
Damien Pourre

Bilateral rupture of the patellar tendon is considered an uncommon and rare musculoskeletal injury. The association of this lesion with medial collateral ligament tear appears to be exceedingly rare. We present the case of a combined rupture of the medial collateral ligament (MCL) and the patellar tendon of both knees in a 48-year-old man, after falling 2 meters down an embankment. While there are numerous publications concerning associated MCL tears and other knee ligaments, a combination of MCL tear with a patellar tendon rupture is very rare. In addition, our case presents the first case recorded in the literature, involving both knees of a patient. The clinical case is described and discussed following a review of the literature. The symmetrical knee injury was treated with a primary direct repair of the MCL tears and using a suture anchor fixation of the patellar tendon ruptures, which was reinforced by a stainless steel wire and an autograft of the ipsilateral quadriceps tendon.


2019 ◽  
Vol 34 (2) ◽  
pp. 134-139
Author(s):  
Joel Huleatt ◽  
Aaron Gebrelul ◽  
Ajay Premkumar ◽  
John Xerogeanes

2017 ◽  
Vol 103 (3) ◽  
pp. 377-380 ◽  
Author(s):  
M. Severyns ◽  
G. Renard ◽  
R. Guillou ◽  
G.A. Odri ◽  
O. Labrada-Blanco ◽  
...  

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