Dataset Information

Rebuilding strength: surgical intervention and rehabilitation for bilateral spontaneous quadriceps tendon rupture-a case report.

ABSTRACT: The quadriceps tendon, crucial for body movement, is among the body's strongest tendons. Factors like diabetes or hormone use can weaken it, making even minor trauma potentially causing rupture. Bilateral spontaneous quadriceps tendon rupture, where both tendons tear simultaneously, is rare. Prompt diagnosis and treatment are crucial. We present a case of a 44-year-old woman who experienced bilateral rupture after falling while doing chores. She had immediate pain and limited knee movement. Diagnosis via physical examination and CT/MRI scans confirmed the rupture. Surgical repair followed by rehabilitation led to significant pain reduction and improved function within two months. Overall, her postoperative outcome was satisfactory. This study underscores the importance of clear diagnosis, timely surgery, and thorough rehabilitation for optimal patient recovery from bilateral quadriceps tendon rupture.

SUBMITTER: Dong H

PROVIDER: S-EPMC11291324 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Rebuilding strength: surgical intervention and rehabilitation for bilateral spontaneous quadriceps tendon rupture-a case report.

Dong Huaize H Yang Jin J Yu Hao H Zhu Jinsong J Yang Jibin J

Frontiers in surgery 20240718

The quadriceps tendon, crucial for body movement, is among the body's strongest tendons. Factors like diabetes or hormone use can weaken it, making even minor trauma potentially causing rupture. Bilateral spontaneous quadriceps tendon rupture, where both tendons tear simultaneously, is rare. Prompt diagnosis and treatment are crucial. We present a case of a 44-year-old woman who experienced bilateral rupture after falling while doing chores. She had immediate pain and limited knee movement. Diag ...[more]

PMID: 39092149

Similar Datasets

Project description:End-stage renal disease with spontaneous quadriceps tendon rupture (QTR) is a specific condition that differs from classic QTR. The tissue quality of the quadriceps tendon (QT), the rupture site, the mechanism of injury, and the pathophysiology of the rupture mechanism all have an effect on conventional QT repair procedures, with a higher likelihood of rerupture or failed repair construction. We believe that our technique provides repair-site stability, strong repair construction, increased contact surface healing, and a reduced chance of rerupture after QT repair. Furthermore, in most patients who have end-stage renal disease with QTR, misdiagnosis and/or underestimation occurs, resulting in proximal retraction of the QT and poor results; however, this technique can be performed with alternative procedures such as augmentation or QT lengthening. The suture bridge transosseous QT repair technique relies on biomechanics knowledge for better stability. Suture bridge repair concept can achieve better healing of all layers of the QT until returning to normal activity with no disability and an improved quality of life. Technique Video Video 1 The patient is positioned supine on the operating table, with the affected leg hanging in 90° of knee flexion. The midline incision is made around 8 cm from the proximal part of the quadriceps tendon (QT) to the patella. We debride the frayed soft tissue, refresh the good-quality tendon ends, and roughen the upper pole of the patella. Five No. 2.0 pins are used to drill transosseous patellar tunnels longitudinally, which comprise 3 anterior drill holes and 2 posterior drill holes in the patellar bone. No. 2 Ethibond is inserted in the 3 anterior patellar drill holes to prepare for shuttling of FiberTape, which will be sutured to the QT. Polydioxanone (PDS) is inserted in the 2 posterior patellar drill holes for shuttling of the No. 2 Ethibond. Two FiberTape sutures are placed through the middle part of the torn tendon by the Kessler repair technique. The distance of the suture is measured 2 to 3 cm proximal to the tear site. The 4 suture tails are passed through 3 parallel longitudinal tunnels within the patella. In the 2 posterior drilling tunnels of the patella, the 4 limbs of the No. 2 Ethibond suture are sutured in a retrograde manner from the deep part to the superficial part of the QT, where they are placed at a distance 2 cm proximal to the tear site. The anterior peritendinous portion of the QT is sutured with No. 1-0 Vicryl along the anterior of the patella with a figure-of-8 suture technique. The 4 FiberTape limbs are secured by a knot at the inferior pole of the patella with the knee in full extension. All the suture limbs from the posterior patellar drill holes are tied at the inferior patellar bone, which acts like a suture bridge. The retinaculum is sutured with No. 1-0 Vicryl by a figure-of-8 suture technique. After the repair, stability is confirmed when knee flexion of up to 90° can be achieved intraoperatively without causing tension.

Project description:BackgroundSeveral new rehabilitation modalities have been proposed after anterior cruciate ligament (ACL) reconstruction. Among these, trigger point dry needling (TrP-DN) might be useful in the treatment of myofascial pain syndrome associated with ACL reconstruction to reduce pain intensity, increase knee flexion range and modify the mechanical properties of the quadriceps muscle during late-stage rehabilitation. To date, this is the first randomized clinical trial to support the use of TrP-DN in the early rehabilitation process after ACL reconstruction. The aim of this study was to determine the pain intensity, range of motion (ROM), stability, and functionality improvements by adding quadriceps vastus medialis TrP-DN to the rehabilitation protocol (Rh) provided to subacute ACL reconstructed patients.MethodsThis randomized, single-blinded, clinical trial (NCT02699411) included 44 subacute patients with surgical reconstruction of complete ACL rupture. The patients were randomized into 2 intervention groups: Rh (n = 22) or Rh + TrP-DN (n = 22). Pain intensity, ROM, stability, and functionality were measured at baseline (A0) and immediately (A1), 24 hours (A2), 1 week (A3), and 5 weeks (A4) after the first treatment.ResultsComparing statistically significant differences (P ≤ .001; Eta = 0.198-0.360) between both groups, pain intensity (at A1), ROM (at A1, A2, and A3), and functionality (at A2, A3, and A4) were increased. Nevertheless, the rest of measurements did not show significant differences (P > .05).ConclusionQuadriceps vastus medialis TrP-DN in conjunction with a rehabilitation protocol in subacute patients with surgical reconstruction of complete ACL rupture increases ROM (short-term) and functionality (short- to mid-term). Although there was an increase in pain intensity with the addition of TrP-DN, this was not detected beyond immediately after the first treatment. Furthermore, stability does not seem to be modified after TrP-DN.

Dataset Information

Rebuilding strength: surgical intervention and rehabilitation for bilateral spontaneous quadriceps tendon rupture-a case report.

Publications

Rebuilding strength: surgical intervention and rehabilitation for bilateral spontaneous quadriceps tendon rupture-a case report.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets