scholarly journals Bilateral Quadriceps Tendon Repair with Suture Anchors: Case Series

2020 ◽  
Vol 24 (4) ◽  
Author(s):  
Jason Tucker
Keyword(s):  
Tendon Repair ◽  
Case Series ◽  
Quadriceps Tendon ◽  
Suture Anchors

Gluteal Tendon Repair Augmented with a Synthetic Ligament: Surgical Technique and a Case Series

2014 ◽  
Vol 24 (2) ◽  
pp. 187-193 ◽  
Author(s):  
Thomas A. Bucher ◽  
Peter Darcy ◽  
Jay R. Ebert ◽  
Anne Smith ◽  
Greg Janes
Keyword(s):  
Surgical Technique ◽  
Tendon Repair ◽  
Case Series ◽  
Synthetic Ligament

Synthetic Mesh Augmentation of Acute and Subacute Quadriceps Tendon Repair

Orthopedics ◽  
2015 ◽  
Vol 39 (1) ◽  
pp. e9-e13 ◽  
Author(s):  
Matthew C. Morrey ◽  
Jonathan D. Barlow ◽  
Matthew P. Abdel ◽  
Arlen D. Hanssen
Keyword(s):  
Tendon Repair ◽  
Quadriceps Tendon ◽  
Synthetic Mesh ◽  
Mesh Augmentation

scholarly journals Ultrasound-Guided Percutaneous Tenotomy for Gluteal Tendinopathy

2020 ◽  
Vol 8 (3) ◽  
pp. 232596712090786 ◽  
Author(s):  
Champ L. Baker ◽  
J. Ryan Mahoney
Keyword(s):  
Short Form ◽  
Tendon Repair ◽  
Case Series ◽  
Outpatient Setting ◽  
Harris Hip Score ◽  
Ultrasound Guided ◽  
Level Of Evidence ◽  
Nonsurgical Management ◽  
Gluteal Tendinopathy

Background: Gluteal tendinopathy is a common cause of lateral hip pain. Percutaneous ultrasonic tenotomy (PUT) has been used successfully for the treatment of tendinopathy of the elbow, knee, and ankle, but its use in the hip has not been described. Purpose: To evaluate the efficacy of PUT in patients who did not respond to nonsurgical management of gluteal tendinopathy. Study Design: Case series; Level of evidence, 4. Methods: A total of 29 patients with gluteal tendinopathy (mean age, 62 years) who did not respond to nonsurgical treatment were enrolled in this prospective study and underwent ultrasound-guided PUT in an outpatient setting. Patients with a history of ipsilateral hip surgery were excluded. All patients initially underwent magnetic resonance imaging or a computed tomography arthrogram demonstrating tendinopathy and/or partial tearing of the gluteus minimus or medius tendon or both tendons. Outcomes were assessed with a visual analog scale (VAS) for pain, the Harris Hip Score evaluation, and the 12-Item Short Form Health Survey (SF-12) before the procedure and at subsequent follow-up visits or by telephone interviews at 3 weeks, 3 months, 6 months, and final follow-up (range, 18-30 months). Results: The mean final follow-up was at 22 months postoperatively. At final follow-up, VAS scores had improved from a preprocedural mean ± SD of 5.86 ± 1.73 to 2.82 ± 2.22 ( P < .01). Harris Hip Scores improved from a preprocedural mean of 60.03 ± 10.86 to 77.47 ± 14.34 ( P < .01). Total SF-12 scores improved from a mean of 29.93 ± 5.39 (51% optimal) to 34.41 ± 4.88 (64% optimal) ( P < .01). No complications were reported. At final follow-up, when asked whether they would have the procedure again, 15 patients replied “yes definitely,” 3 replied “yes probably,” 3 replied “maybe,” 1 replied “likely not,” and 2 replied “definitely not.” There were 3 patients who eventually had hip abductor tendon repair, and their PUT procedures were considered failures. Conclusion: PUT is an effective treatment, with good results for patients with gluteal tendinopathy.

scholarly journals Ipsilateral Rupture of Quadriceps Tendon with Distal Tibia Fracture: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Samik Banerjee ◽  
Timothy P. Dooley ◽  
James R. Parkinson
Keyword(s):  
English Literature ◽  
Distal Tibia ◽  
Tendon Repair ◽  
Quadriceps Tendon ◽  
Tibia Fracture ◽  
Traumatic Rupture ◽  
Distal Tibia Fracture ◽  
Intramedullary Rodding ◽  
High Index Of Suspicion ◽  
Bone Tunnels

Traumatic rupture of the quadriceps tendon by itself is not an uncommon clinical condition. However, its association with concurrent ipsilateral closed distal tibia oblique fracture is exceedingly rare with only one previously reported case in English literature. The dual diagnosis of this atypical combination of injury may be masked by pain and immobilization of the more obvious fracture and may be missed, unless the treating physician maintains a high index of suspicion. Suprapatellar knee pain with or without a palpable gap in the quadriceps tendon and inability to straight leg raise in the setting of a distal tibia fracture should raise concern, but if initial treatment employs a long-leg splint the knee symptoms may be muted. In this report, we describe this unusual combination of injury in a 67-year-old male patient who sustained a trivial twisting injury to the leg. The aim of this report is to raise awareness and emphasize the importance of thorough and repeated clinical examinations in the presence of distracting injuries. Despite the complexity of the problem, standard techniques for quadriceps tendon repair using transpatellar bone tunnels following locked intramedullary rodding of the tibia fracture may lead to optimal outcomes.

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