medigraphic.com
ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2023, Number 4

<< Back Next >>

Ortho-tips 2023; 19 (4)

Acute bilateral patellar tendon rupture in a patient without risk factors. Case report and review of the literature

Flores-Naranjo JE, Mateus-García A, Millán-Osuna CE, Garín ZD

Language: Spanish
References: 50
Page: 239-246
PDF size: 341.81 Kb.


ABSTRACT

Bilateral patellar tendon rupture is a rare dysfunction of the extensor mechanism, there are predisposing factors such as drug intake or systemic diseases, diagnosis requires adequate clinical evaluation accompanied by imaging studies, timely surgical treatment with rehabilitation is essential for a successful outcome. recovery. We present the case of a 33-year-old male with acute bilateral simultaneous rupture of the patellar tendon with no identified risk factors for whom we used a primary repair technique with titanium anchors with ultra-high molecular weight polyethylene sutures. We found in the literature only thirteen similar cases up to 2023, no case reported in Mexico.


REFERENCES

  1. Sakabe T, Sakai T. Musculoskeletal diseases--tendon. Br Med Bull. 2011; 99 (1): 211-225. doi: 10.1093/bmb/ldr025.

  2. Pang J, Shen S, Pan WR, Jones IR, Rozen WM, Taylor GI. The arterial supply of the patellar tendon: anatomical study with clinical implications for knee surgery. Clin Anat. 2009; 22 (3): 371-376. doi: 10.1002/ca.20770.

  3. Yüce A, Yerli M, M?s?r A. The injury mechanism of knee extensor mechanism rupture in professional athletes: a video analysis study. Indian J Orthop. 2022; 56 (10): 1737-1744. doi: 10.1007/s43465-022-00724-2.

  4. Taylor BC, Tancev A, Fowler T. Bilateral patellar tendon rupture at different sites without predisposing systemic disease or steroid use. Iowa Orthop J. 2009; 29: 100-104.

  5. Bennett K, Vincent T, Sakthi-Velavan S. The patellar ligament: a comprehensive review. Clin Anat. 2022; 35 (1): 52-64. doi: 10.1002/ca.23791.

  6. Kasten P, Schewe B, Maurer F, Gosling T, Krettek C, Weise K. Rupture of the patellar tendon: a review of 68 cases and a retrospective study of 29 ruptures comparing two methods of augmentation. Arch Orthop Trauma Surg. 2001; 121 (10): 578-582. doi: 10.1007/s004020100298.

  7. McKinney B, Cherney S, Penna J. Intra-articular knee injuries in patients with knee extensor mechanism ruptures. Knee Surg Sports Traumatol Arthrosc. 2008; 16 (7): 633-638. doi: 10.1007/s00167-008-0516-z.

  8. Garner MR, Gausden E, Berkes MB, Nguyen JT, Lorich DG. Extensor mechanism injuries of the knee: demographic characteristics and comorbidities from a review of 726 patient records. J Bone Joint Surg Am. 2015; 97 (19): 1592-1596. doi: 10.2106/JBJS.O.00113.

  9. Clayton RA, Court-Brown CM. The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury. 2008; 39 (12): 1338-1344. doi: 10.1016/j.injury.2008.06.021.

  10. Savarese E, Bisicchia S, Amendola A. Bilateral spontaneous concurrent rupture of the patellar tendon in a healthy man: case report and review of the literature. Musculoskelet Surg. 2010; 94 (2): 81-88. doi: 10.1007/s12306-010-0077-4.

  11. Pengas IP, Assiotis A, Khan W, Spalding T. Adult native knee extensor mechanism ruptures. Injury. 2016; 47 (10): 2065-2070. doi: 10.1016/j.injury.2016.06.032.

  12. Steele R, Hayden SR, Ward N, Macias M. Patellar tendon rupture bedside diagnosis. J Emerg Med. 2021; 60 (3): 384-386. doi: 10.1016/j.jemermed.2020.09.051.

  13. Chen SK, Lu CC, Chou PH, Guo LY, Wu WL. Patellar tendon ruptures in weight lifters after local steroid injections. Arch Orthop Trauma Surg. 2009; 129 (3): 369-372. doi: 10.1007/s00402-008-0655-1.

  14. Monroy A, Urruela A, Egol KA, Tejwani NC. Bilateral disruption of soft tissue extensor mechanism of knee: functional outcome and comparison to unilateral injuries. HSS J. 2013; 9 (1): 12-16. doi: 10.1007/s11420-012-9314-8.

  15. Kearns MC, Singh VK. Bilateral patellar tendon rupture associated with statin use. J Surg Case Rep. 2016; 2016 (5): rjw072. doi: 10.1093/jscr/rjw072.

  16. Daneman N, Lu H, Redelmeier DA. Fluoroquinolones and collagen associated severe adverse events: a longitudinal cohort study. BMJ Open. 2015; 5 (11): e010077. doi: 10.1136/bmjopen-2015-010077.

  17. Baik S, Lau J, Huser V, McDonald CJ. Association between tendon ruptures and use of fluoroquinolone, and other oral antibiotics: a 10-year retrospective study of 1 million US senior Medicare beneficiaries. BMJ Open. 2020; 10 (12): e034844. doi: 10.1136/bmjopen-2019-034844.

  18. Neubauer T, Wagner M, Potschka T, Riedl M. Bilateral, simultaneous rupture of the quadriceps tendon: a diagnostic pitfall? Report of three cases and meta-analysis of the literature. Knee Surg Sports Traumatol Arthrosc. 2007; 15 (1): 43-53. doi: 10.1007/s00167-006-0133-7.

  19. Murphy SM, McAleese T, Elghobashy O, Walsh J. Bilateral patellar tendon rupture following low-energy trauma in a young patient without predisposing risk factors. Trauma Case Rep. 2022; 40: 100643. doi: 10.1016/j.tcr.2022.100643.

  20. Dan M, Parr W, Broe D, Cross M, Walsh WR. Biomechanics of the knee extensor mechanism and its relationship to patella tendinopathy: a review. J Orthop Res. 2018; 36 (12): 3105-3112. doi: 10.1002/jor.24120.

  21. Der Worp Hv, van der Does HT, Brink MS, Zwerver J, Hijmans JM. Prospective Study of the Relation between Landing Biomechanics and Jumper's Knee. Int J Sports Med. 2016; 37 (3): 245-250. doi: 10.1055/s-0035-1555858.

  22. Sherman SL, Black B, Mooberry MA, Freeman KL, Gulbrandsen TR, Milles JL, Evans L, Flood D, Pfeiffer F. Biomechanical evaluation of suture anchor versus transosseous tunnel patellar tendon repair techniques. J Knee Surg. 2019; 32 (8): 825-832. doi: 10.1055/s-0038-1669790.

  23. Knörzer E, Folkhard W, Geercken W, Boschert C, Koch MH, Hilbert B, Krahl H, Mosler E, Nemetschek-Gansler H, Nemetschek T. New aspects of the etiology of tendon rupture. An analysis of time-resolved dynamic-mechanical measurements using synchrotron radiation. Arch Orthop Trauma Surg (1978). 1986; 105 (2): 113-120. doi: 10.1007/BF00455845.

  24. Tiong HY, Dhillon SS, Davison JN. Patellar tendon ruptures in a pair of brothers. Singapore Med J. 2003; 44 (11): 587-589.

  25. Barner KL, Gluck C, Witte KA. Simultaneous bilateral rupture of patellar tendons in a young man without predisposing factors or systemic disease. Cureus. 2019; 11 (8): e5469. doi: 10.7759/cureus.5469.

  26. Ho HM, Lee WK. Traumatic bilateral concurrent patellar tendon rupture: an alterative fixation method. Knee Surg Sports Traumatol Arthrosc. 2003; 11 (2): 105-111. doi: 10.1007/s00167-002-0332-9.

  27. Kellersmann R, Blattert TR, Weckbach A. Bilateral patellar tendon rupture without predisposing systemic disease or steroid use: a case report and review of the literature. Arch Orthop Trauma Surg. 2005; 125 (2): 127-133. doi: 10.1007/s00402-004-0782-2.

  28. Lu HD, Cai DZ, Wang K, Zeng C. Simultaneous bilateral patellar tendon rupture without predisposing systemic disease or steroid use: a case report. Chin J Traumatol. 2012; 15 (1): 54-58.

  29. Tarazi N, O'loughlin P, Amin A, Keogh P. A rare case of bilateral patellar tendon ruptures: a case report and literature review. Case Rep Orthop. 2016; 2016: 6912968. doi: 10.1155/2016/6912968.

  30. Kamienski M. Bilateral patellar tendon rupture. Orthop Nurs. 2017; 36 (6): 379-382. doi: 10.1097/NOR.0000000000000398.

  31. Moura DL, Marques JP, Lucas FM, Fonseca FP. Simultaneous bilateral patellar tendon rupture. Rev Bras Ortop. 2016; 52 (1): 111-114. doi: 10.1016/j.rboe.2016.03.006.

  32. Cibula Z, Chmúrny M, Ne?as L, Hrubina M. Spontaneous bilateral rupture of patellar ligament. Rozhl Chir. 2018; 97 (10): 473-477.

  33. Foley J, Elhelali R, Moiloa D. Spontaneous simultaneous bilateral patellar tendon rupture. BMJ Case Rep. 2019; 12 (2): e227931. doi: 10.1136/bcr-2018-227931.

  34. Louka JG, Pourre D. Simultaneous bilateral rupture of the patellar tendon and medial collateral ligament: a case report and literature review. Case Rep Orthop. 2020; 2020: 8862600. doi: 10.1155/2020/8862600.

  35. Fazal MA, Moonot P, Haddad F. Radiographic features of acute patellar tendon rupture. Orthop Surg. 2015; 7 (4): 338-342. doi: 10.1111/os.12210.

  36. Swamy GN, Nanjayan SK, Yallappa S, Bishnoi A, Pickering SA. Is ultrasound diagnosis reliable in acute extensor tendon injuries of the knee? Acta Orthop Belg. 2012; 78 (6): 764-770.

  37. Lee D, Stinner D, Mir H. Quadriceps and patellar tendon ruptures. J Knee Surg. 2013 Oct; 26 (5): 301-308. doi: 10.1055/s-0033-1353989.

  38. Golman M, Wright ML, Wong TT, Lynch TS, Ahmad CS, Thomopoulos S, et al. Rethinking Patellar tendinopathy and partial patellar tendon tears: a novel classification system. Am J Sports Med. 2020; 48 (2): 359-369. doi: 10.1177/0363546519894333.

  39. Carlson Strother CR, LaPrade MD, Keyt LK, Wilbur RR, Krych AJ, Stuart MJ. A strategy for repair, augmentation, and reconstruction of knee extensor mechanism disruption: a retrospective review. Orthop J Sports Med. 2021; 9 (10): 23259671211046625. doi: 10.1177/23259671211046625.

  40. Onggo JR, Babazadeh S, Pai V. Smaller gap formation with suture anchor fixation than traditional transpatellar sutures in patella and quadriceps tendon rupture: a systematic review. Arthroscopy. 2022; 38 (7): 2321-2330. doi: 10.1016/j.arthro.2022.01.012.

  41. Courtney PM, Edmiston TA, Pflederer CT, Levine BR, Gerlinger TL. Is there any role for direct repair of extensor mechanism disruption following total knee arthroplasty? J Arthroplasty. 2018; 33 (7S): S244-S248. doi: 10.1016/j.arth.2017.11.045.

  42. Imbergamo C, Sequeira S, Bano J, Rate WR 4th, Gould H. Failure rates of suture anchor fixation versus transosseous tunnel technique for patellar tendon repair: a systematic review and meta-analysis of biomechanical studies. Orthop J Sports Med. 2022; 10 (8): 23259671221120212. doi: 10.1177/23259671221120212.

  43. O'Dowd JA, Lehoang DM, Butler RR, Dewitt DO, Mirzayan R. Operative treatment of acute patellar tendon ruptures. Am J Sports Med. 2020; 48 (11): 2686-2691. doi: 10.1177/0363546520943879.

  44. Ravalin RV, Mazzocca AD, Grady-Benson JC, Nissen CW, Adams DJ. Biomechanical comparison of patellar tendon repairs in a cadaver model: an evaluation of gap formation at the repair site with cyclic loading. Am J Sports Med. 2002; 30 (4): 469-473. doi: 10.1177/03635465020300040301.

  45. Hasegawa M, Tone S, Naito Y, Sudo A. Reconstruction of patellar tendon rupture after total knee arthroplasty using polyethylene cable. Knee. 2021; 29: 63-67. doi: 10.1016/j.knee.2021.01.008.

  46. Otsubo H, Kamiya T, Suzuki T, Kuroda M, Ikeda Y, Matsumura T, Yamashita T. Repair of acute patellar tendon rupture augmented with strong sutures. J Knee Surg. 2017; 30 (4): 336-340. doi: 10.1055/s-0036-1586725.

  47. El-Desouky II, Mohamed MM, Al Assassi M. Primary repair of ruptured patellar tendon augmented by semitendinosus. J Knee Surg. 2014; 27 (3): 207-213. doi: 10.1055/s-0033-1360655. Epub 2013 Nov 22.

  48. Camarda L, D'Arienzo A, Morello S, Guarneri M, Balistreri F, D'Arienzo M. Bilateral ruptures of the extensor mechanism of the knee: a systematic review. J Orthop. 2017; 14 (4): 445-453. doi: 10.1016/j.jor.2017.07.008.

  49. Woodmass JM, Johnson JD, Wu IT, Krych AJ, Stuart MJ. Patellar tendon repair with ipsilateral semitendinosus autograft augmentation. Arthrosc Tech. 2017; 6 (6): e2177-e2181. doi: 10.1016/j.eats.2017.08.013.

  50. Beranger JS, Kajetanek C, Bayoud W, Pascal-Mousselard H, Khiami F. Return to sport after early surgical repair of acute patellar tendon ruptures. Orthop Traumatol Surg Res. 2020; 106 (3): 503-507. doi: 10.1016/j.otsr.2020.01.010.




2020     |     www.medigraphic.com