PDF(Pubmed)
Abstract：
We present a case of a fit man in his 50s, with simultaneous bilateral quadriceps tendon repair of injuries sustained 6 years apart. Spontaneous closed ruptures of the quadriceps tendon are uncommon. Clinical data of a single case of bilateral quadriceps tendon injury with simultaneous repair was gathered via the patient, notes and surgeon. Diagnosis was primarily based on history and clinical examination. Suggestive features on the plain radiographic imaging were also present. Confirmation was attempted using ultrasonography but yielded conflicting reports. The patient was screened for any associated predisposing conditions that would preclude surgical intervention or increase risk of recurrence. Repairs were accomplished by employing a combination of suture anchors and transpatellar cerclage reinforcement. Apposition of the tendon to the superior patellar pole was successful although with decreased passive flexion on the neglected side (approximately 30°) compared with the acute (approximately 90°). Follow-up continues with postoperative rehabilitation.
摘要：
我们提出了一个50多岁的健康男人的案例，同时双侧股四头肌腱损伤修复持续6年。股四头肌腱自发性闭合性断裂并不常见。通过患者收集了一例双侧股四头肌腱损伤同时修复的临床资料，笔记和外科医生。诊断主要基于病史和临床检查。在普通射线照相成像上也有暗示特征。尝试使用超声检查进行确认，但产生的报告相互矛盾。筛查患者的任何相关的易感条件，这些易感条件会阻止手术干预或增加复发风险。修复是通过使用缝合锚钉和跨骨环扎加固的组合来完成的。尽管与急性（约90°）相比，被忽略侧的被动屈曲减少（约30°），但肌腱与the骨上极的结合是成功的。随访继续进行术后康复。
