PDF(Pubmed)
Abstract：
UNASSIGNED: The phenomenon of a floating patella or ipsilateral bifocal rupture of the extensor apparatus is an extremely rare injury, with few cases reported in the literature. The aim of this case study is to report an unprecedented event: the simultaneous trans-tendinous rupture of both quadriceps and patellar tendons in a young adult without predisposing factors, emphasizing the need for awareness in diagnosis and management, and suggesting a new avenue for research in prevention and rehabilitation.
METHODS: We report the case of a 35-year-old patient with no significant medical history, who experienced this injury following a sudden start in a sprint without prior warm-up. The clinical examination revealed a swollen, painful knee with active extension deficit, patellar ascent, and a sub patellar hiatus. Magnetic Resonance Imaging (MRI) confirmed a trans-tendinous rupture of both the patellar and quadriceps tendons.
UNASSIGNED: Tendon repair was performed using end-to-end sutures and a figure-8 reinforcement with the semitendinosus tendon, along with gracilis plastie to strengthen the patellar tendon repair. This methodological approach is discussed in the context of its effectiveness and potential implications for future surgical management of similar injuries.
CONCLUSIONS: After a 12-month follow-up, the patient exhibited highly satisfactory results, resuming both professional and sporting activities. To our knowledge, this is the first published case of a trans-tendinous rupture of the extensor apparatus tendons. This observation serves as a reference in understanding the mechanism and surgical management of such lesions, emphasizing the need for further research and clinical vigilance in similar cases.
METHODS: We report the case of a 35-year-old patient with no significant medical history, who experienced this injury following a sudden start in a sprint without prior warm-up. The clinical examination revealed a swollen, painful knee with active extension deficit, patellar ascent, and a sub patellar hiatus. Magnetic Resonance Imaging (MRI) confirmed a trans-tendinous rupture of both the patellar and quadriceps tendons.
UNASSIGNED: Tendon repair was performed using end-to-end sutures and a figure-8 reinforcement with the semitendinosus tendon, along with gracilis plastie to strengthen the patellar tendon repair. This methodological approach is discussed in the context of its effectiveness and potential implications for future surgical management of similar injuries.
CONCLUSIONS: After a 12-month follow-up, the patient exhibited highly satisfactory results, resuming both professional and sporting activities. To our knowledge, this is the first published case of a trans-tendinous rupture of the extensor apparatus tendons. This observation serves as a reference in understanding the mechanism and surgical management of such lesions, emphasizing the need for further research and clinical vigilance in similar cases.
摘要：
■伸肌浮动髌骨或同侧双焦点破裂的现象是极为罕见的损伤，文献中报道的病例很少。本案例研究的目的是报告一个前所未有的事件：在没有诱发因素的年轻成年人中，股四头肌和髌骨肌腱同时经腱断裂。强调诊断和管理意识的必要性，并提出了预防和康复研究的新途径。
方法：我们报告一例35岁无明显病史的患者，在没有事先热身的情况下突然开始冲刺后经历了这种伤害。临床检查显示肿胀，疼痛的膝盖与主动伸展缺陷，髌骨上升,和髌骨下裂孔。磁共振成像（MRI）证实了the骨和股四头肌腱的经腱破裂。
■使用端对端缝线和带有半腱肌腱的8号图加固进行肌腱修复，与股薄肌腱一起加强髌腱修复。在其有效性和对类似损伤的未来手术管理的潜在影响的背景下讨论了这种方法。
结论：经过12个月的随访，患者表现出非常满意的结果，恢复职业和体育活动。据我们所知,这是首次发表的伸肌肌腱跨肌腱断裂病例。此观察结果可作为理解此类病变的机制和手术治疗的参考。强调在类似病例中需要进一步研究和临床警惕。
方法：我们报告一例35岁无明显病史的患者，在没有事先热身的情况下突然开始冲刺后经历了这种伤害。临床检查显示肿胀，疼痛的膝盖与主动伸展缺陷，髌骨上升,和髌骨下裂孔。磁共振成像（MRI）证实了the骨和股四头肌腱的经腱破裂。
■使用端对端缝线和带有半腱肌腱的8号图加固进行肌腱修复，与股薄肌腱一起加强髌腱修复。在其有效性和对类似损伤的未来手术管理的潜在影响的背景下讨论了这种方法。
结论：经过12个月的随访，患者表现出非常满意的结果，恢复职业和体育活动。据我们所知,这是首次发表的伸肌肌腱跨肌腱断裂病例。此观察结果可作为理解此类病变的机制和手术治疗的参考。强调在类似病例中需要进一步研究和临床警惕。
