Tendon sheath lipoma associated with quadriceps tendon rupture. Case report

Leticia del Carmen Baena-Ocampo; Iván Encalada-Díaz; Norma Marín-Arriaga

2008, Number 3

<< Back Next >>

Cir Cir 2008; 76 (3)

Tendon sheath lipoma associated with quadriceps tendon rupture. Case report

Baena-Ocampo LC, Encalada-Díaz I, Marín-Arriaga N

Full text

How to cite this article

Language: Spanish
References: 29
Page: 265-269
PDF size: 168.65 Kb.

ABSTRACT

Background: Tendon sheath lipoma is an uncommon tumour characterized morphologically by mature fat tissue lobes adherent to tendon or intersecting its fibers. The association with quadriceps tendon ruptures is unusual. The etiologic factors that may condition those ruptures have not yet been fully described. However, several authors suggest the existence of a subjacent pathology, such as metabolic or inflammatory diseases. Minimal trauma may lead to such ruptures as well as associated ligamentous or bony injuries. The prognosis regarding quadriceps tendon rupture mainly depends on the lap between injury and time of repair.
Clinical case: We present the case of a quadricipital tendinous rupture produced by the presence of a benign neoplasia, which is a very infrequent association. The patient was surgically treated for quadriceps tendon reconstruction via tendinous reinsertion at the patella. Currently, during the rehabilitation period, the patient is symptom free with an almost-complete flexion/extension of his left knee.
Conclusions: We consider that importance must be given to neoplastic disease as a cause of tendinous rupture, regardless of their infrequency and unusual clinical presentation.

REFERENCES

1. David HG, Green JT, Grant AJ, Wilson CA. Simultaneous bilateral quadriceps rupture: a complication of anabolic steroid use. J Bone Joint Surg Br 1995;77-B:159-160.
2. Tiong, H Y, Dhillon S S, Davison JN. Patellar tendon ruptures in a pair of brothers. Singapore Med J 2003;44:587-589.
3. Dhar S. Bilateral simultaneous, spontaneous rupture of the quadriceps tendon. A report of 3 cases and a review of the literature. Injury 1998;19:7-8.
4. MacEachern AG, Plewes JL. Bilateral simultaneous spontaneous rupture of the quadriceps tendons. Five case reports and review of the literature. J Bone Joint Surg 1984;66:81-83.
5. Huang GS, Lee HS, Hsu YC, Kao HW, Lee HH, Chen CY. Tenosynovial lipoma arborescens of the ankle in a child. Skeletal Radiol 2006:35:244-247.
6. Donnelly LF, Bisset GS 3rd, Passo MH. MRI findings of lipoma arborescens of the knee in a child: case report. Pediatr Radiol 1994;24:258-259.
7. Matsui Y, Hasegawa T, Kubo T, Goto T, Yukata K, Endo K, Bando Y, Yasui N. Intrapatellar tendon lipoma with chondro-osseous differentiation: detection of HMGA2-LPP fusion gene transcript. J Clin Pathol 2006;59:434-436.
8. Neubauer T, Wagner M, Potschka T. Bilateral, simultaneous rupture of the quadriceps tendon: a diagnostic pitfall? Reports of three cases and meta-analysis of the literature. Knee Surg Sports Traumatol Arthrosc 2007;15:43-53.
9. Weiss SW, Goldblum JR. Benign lipomatous tumors. In: Enzinger and Weiss’s Soft Tissue Tumors. 4th ed. St. Louis: Mosby;2001. pp. 213-215.
10. Kempson RL, Fletcher CDM. Lipomatous Tumors. In: Tumors of the Soft Tissues. Bethesda: Wiley and Sons;2001. p. 191.
11. Sullivan CR, Dahlin DC, Bryan RS. Lipoma of the tendon sheath. J Bone Joint Surg 1956;38A:1275-1279.
12. Hallel T, Lew S, Kfar-Saba I, Bansal M. Villous lipomatous proliferation of the synovial membrane (lipoma arborescens). J Bone Joint Surg 1988;70:264-269.
13. Weitzman G. Lipoma arborescens of the knee. J Bone Joint Surg 1965;47:1030-1033.
14. Ochman S, Langer M, Petersen W, Meffert RH, Tillmann B, Raschke MJ. Rupture of the quadriceps tendon. Diagnosis and treatment of a rare injury. Unfallchirurg 2005;108:436-444.
15. Modrego FJ, Molina J. Bilateral rupture de cuadríceps tendon. Rev Fac Cien Med Univ Nac Cordoba 2004;61:37-39.
16. Shah MK. Simultaneous bilateral quadriceps tendon rupture in renal patients Clin Nephrol 2002;58:118-121.
17. Shah M, Jooma N. Simultaneous bilateral quadriceps tendon rupture while playing basketball. Br J Sports Med 2002;36:152-153.
18. Provelegios S, Markakis P, Cambouroglou G, Choumis G, Dounis E. Bilateral, spontaneous and simultaneous rupture of the quadriceps tendon in chronic renal failure and secondary hyperparathyroidism. Report of five cases. Arch Anat Cytol Pathol 1991;39:228-232.
19. Chen CM, Chu P, Huang GS, Wang SJ, Wu SS. Spontaneous rupture of the patellar and contralateral quadriceps tendons associated with secondary hyperparathyroidism in a patient receiving long-term dialysis. J Formos Med Assoc 2006;105:941-945.
20. Levy M, Seelenfreud M, Maor P, Fried A, Lurie M. Bilateral spontaneous and simultaneous rupture of the cuadriceps tendon in gout. J Bone Joint Surg (Br) 1971;53B:510-513.
21. Liow RYL, Tavares S. Bilateral rupture of quadriceps tendon associated with anabolic steroids. Br J Sports Med 1995;29:77-79.
22. Khaliq Y, Zhanel GG. Fluoroquinolone-associated tendinopathy: a critical review of the literature. Clin Infect Dis 2003;36:1404-1410.
23. Noteboom JT, Lester MN. Bilateral simultaneous infrapatellar tendon ruptures: a case study. J Orthop Sports Phys Ther 1994;20:166-170.
24. Hosseini H, Agneskirchner JD, Lobenhoffer P. A simplified technique for repair of quadriceps tendon rupture by transpatellar PDS-cord. Orthopade 2005;34:550-555.
25. Matava MJ. Patellar tendon ruptures. J Am Acad Orthop Surg 1996;
4:287-296.
26. IIan DI, Tejwani N, Keschner M, Leibman M. Quadriceps tendon rupture. J Am Acad Orthop Surg 2003;11:192-200.
27. Levine RJ. Patellar tendon rupture: the importance of timely recognition and repair Postgrad Med 2003;100:241-242.
28. Rougraff BT, Reeck CC, Essenmacher J. Complete quadriceps tendon ruptures. Orthopedics l996;19:509-514.