Abstract |
Spontaneous disruption of the knee extensor mechanism is associated with systemic diseases, steroid usage, and repeated microtrauma. Early repair or reconstruction is imperative for optimal outcome. We report 2 cases of spontaneous disruption of the bilateral knee extensor mechanism. The first patient had connective tissue disease and long-term steroid use. She had acute-on-chronic spontaneous bilateral patellar tendon rupture. She underwent reconstruction with an allograft and defunctioning wire. The second patient had end-stage renal failure with tertiary hyperparathyroidism and was on haemodialysis. He had a right patellar tendon rupture and a left quadriceps tendon rupture. He underwent primary repair of both tendons. Postoperatively, both patients followed a strict physiotherapy regimen and achieved good functional outcome.
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Authors | Chusheng Seng, Yi-Jia Lim, Hee Nee Pang |
Journal | Journal of orthopaedic surgery (Hong Kong)
(J Orthop Surg (Hong Kong))
Vol. 23
Issue 2
Pg. 262-6
(Aug 2015)
ISSN: 2309-4990 [Electronic] England |
PMID | 26321566
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Female
- Humans
- Knee Injuries
(diagnosis, surgery)
- Knee Joint
(diagnostic imaging, surgery)
- Male
- Orthopedic Procedures
(methods)
- Patellar Ligament
(transplantation)
- Radiography
- Rupture
- Tendon Injuries
(surgery)
- Tendons
(surgery)
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