Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use
Bilateral patellar tendon rupture is usually associated with systemic immunologic or connective tissue disease, steroid use, fluoroquinolone antibiotic use, or renal disease. Amongst the spontaneous cases, bilateral ruptures are exceedingly rare and have only been documented in a few case reports. W...
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| Format: | Article |
| Language: | English |
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The Pan African Medical Journal
2014-08-01
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| Series: | The Pan African Medical Journal |
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| Online Access: |
https://www.panafrican-med-journal.com/content/article/18/335/pdf/335.pdf
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| _version_ | 1819349471469764608 |
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| author | Rida-Allah Bassir Aniss Chagou |
| author_facet | Rida-Allah Bassir Aniss Chagou |
| author_sort | Rida-Allah Bassir |
| collection | DOAJ |
| description | Bilateral patellar tendon rupture is usually associated with systemic immunologic or connective tissue disease, steroid use, fluoroquinolone antibiotic use, or renal disease. Amongst the spontaneous cases, bilateral ruptures are exceedingly rare and have only been documented in a few case reports. We present a case of bilateral midsubstance patellar tendon ruptures along from a fall from a standing height in a 34-year-old otherwise healthy adult without any predisposing conditions, diagnosed in clinical examination with a little extension deficit, and confirmed in plain radiographs showing a bilateral patella alta (A, B). Most patients that sustain a tendon rupture have risk factors for tendinopathy including chronic renal disease, systemic lupus erythematosus, rheumatoid arthritis, or exposure to medications (such as fluoroquinolones or corticosteroids). To the best of our knowledge, this condition is often misdiagnosed. Despite the rarity of cases in patient's without systemic disease, emergency physicians must maintain a high index of suspicion of a knee extensor injury in a patient who is unable to actively extend the knees associated with patella alta. |
| first_indexed | 2024-12-24T19:01:03Z |
| format | Article |
| id | doaj.art-940fdf0b77cd4db595038319343f1dc7 |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-24T19:01:03Z |
| publishDate | 2014-08-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-940fdf0b77cd4db595038319343f1dc72022-12-21T16:43:13ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882014-08-011833510.11604/pamj.2014.18.335.42184218Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid useRida-Allah Bassir0Aniss Chagou1 Mohamed V Souissi University, Department of Orthopaedic Surgery and Traumatology, Rabat, Morocco Mohamed V Souissi University, Department of Orthopaedic Surgery and Traumatology, Rabat, Morocco Bilateral patellar tendon rupture is usually associated with systemic immunologic or connective tissue disease, steroid use, fluoroquinolone antibiotic use, or renal disease. Amongst the spontaneous cases, bilateral ruptures are exceedingly rare and have only been documented in a few case reports. We present a case of bilateral midsubstance patellar tendon ruptures along from a fall from a standing height in a 34-year-old otherwise healthy adult without any predisposing conditions, diagnosed in clinical examination with a little extension deficit, and confirmed in plain radiographs showing a bilateral patella alta (A, B). Most patients that sustain a tendon rupture have risk factors for tendinopathy including chronic renal disease, systemic lupus erythematosus, rheumatoid arthritis, or exposure to medications (such as fluoroquinolones or corticosteroids). To the best of our knowledge, this condition is often misdiagnosed. Despite the rarity of cases in patient's without systemic disease, emergency physicians must maintain a high index of suspicion of a knee extensor injury in a patient who is unable to actively extend the knees associated with patella alta. https://www.panafrican-med-journal.com/content/article/18/335/pdf/335.pdf patellar tendonsspontaneous rupturesystemic disease |
| spellingShingle | Rida-Allah Bassir Aniss Chagou Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use The Pan African Medical Journal patellar tendons spontaneous rupture systemic disease |
| title | Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use |
| title_full | Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use |
| title_fullStr | Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use |
| title_full_unstemmed | Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use |
| title_short | Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use |
| title_sort | bilateral simultaneous spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use |
| topic | patellar tendons spontaneous rupture systemic disease |
| url |
https://www.panafrican-med-journal.com/content/article/18/335/pdf/335.pdf
|
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