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Case Reports
. 2011:2011:569363.
doi: 10.1155/2011/569363. Epub 2012 Jan 11.

Spontaneous rupture of the patellar tendon and the contralateral quadriceps tendon, associated with lupus erythematosus: analysis of the literature

Efthimios J Karadimas  1 , Dimitrios Kotzamitelos, Despoina D Kakagia, Athanasios Hatziyiannakis
Affiliations
Case Reports

Spontaneous rupture of the patellar tendon and the contralateral quadriceps tendon, associated with lupus erythematosus: analysis of the literature

Efthimios J Karadimas et al. Case Rep Orthop. 2011.

Abstract

Bilateral rupture of the patellar tendon is a rare injury. A case of a 67-year-old man with systemic lupus erythematosus under corticosteroid treatment for the last 10 years, who sustained spontaneous rupture of the patellar tendon and the contralateral quadriceps tendon, is herein presented. The patient was operated bilaterally, had an optimal outcome considering his age and the comorbidities, and was followed up for 24 months.

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Figures

Figure 1
Figure 1
Figure 2
Figure 2
MRI of the left knee reveals complete rupture of the patellar tendon and patella alta.
Figure 3
Figure 3
Nonabsorbable sutures through the ends of the ruptured patellar tendon in the left knee.
Figure 4
Figure 4
Tension band wire through tibial tuberosity for reinforcing the sutures.
Figure 5
Figure 5
Reconstruction of the partial rupture of the quadriceps tendon in the right knee with nonabsorbable sutures.
Figure 6
Figure 6
Full extension of both knees in 2-year followup.
Figure 7
Figure 7
Figure 8
Figure 8
See this image and copyright information in PMC

References

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    1. Wener JA, Schein AJ. Simultaneous bilateral rupture of the patellar tendon and quadriceps expansions in systemic lupus erythematosus. A case report. Journal of Bone and Joint Surgery A. 1974;56(4):823–824. - PubMed
    1. Loehr J, Welsh RP. Spontaneous rupture of the quadriceps tendon and patellar ligament during treatment for chronic renal failure. Canadian Medical Association Journal. 1983;129(3):254–256. - PMC - PubMed
    1. Munshi NI. Simultaneous rupture of the quadriceps tendon with contralateral rupture of the patellar tendon in an otherwise healthy athlete. British Journal of Sports Medicine. 1996;30(2):177–178. - PMC - PubMed
    1. Rogers A, Rix S, Kulkarni R. Simultaneous rupture of a patellar tendon and contralateral quadriceps tendon in a healthy individual. Orthopedics. 2003;26(8):817–818. - PubMed

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