Disruption and tears of the patella tendons bilaterally.
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MedPix Image - MedPix Case
Affiliation: Uniformed Services University
ABSTRACT
Diagnosis: Disruption and tears of the patella tendons bilaterally. History: This 42 y/o active duty man jumped from his vehicle and felt a pop. He then tried to hop on the other leg to the aid station and felt a pop in the good leg. The rest is history with him lying in the dirt unable to walk, asking for help, crawling on his belly, etc. Findings: Plain lateral x-rays of bilateral knees showed patella alta, a high riding patella. Joint effusion was noted. On MRI, disrupted patellar tendons were noted bilaterally. Ddx: • Trauma due to extreme combat conditions (body armor, heat, stress). • Systemic lupus erythematosus • Rheumatoid arthritis • Steroid use/ abuse Dxhow: Plain CR and MRI Exam: Swelling of patellar tendons and high riding patella bilaterally. No MeSH data available. |
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MPX1260_synpic43422: Figure 4 is a T2 sagittal of oppisite (left) knee showing the tendon retracted with associated with wide gap of increased signal representing tear and inflammation. |
View Article: MedPix Image - MedPix Case
Affiliation: Uniformed Services University
Diagnosis: Disruption and tears of the patella tendons bilaterally.
History: This 42 y/o active duty man jumped from his vehicle and felt a pop. He then tried to hop on the other leg to the aid station and felt a pop in the good leg. The rest is history with him lying in the dirt unable to walk, asking for help, crawling on his belly, etc.
Findings: Plain lateral x-rays of bilateral knees showed patella alta, a high riding patella. Joint effusion was noted. On MRI, disrupted patellar tendons were noted bilaterally.
Ddx: • Trauma due to extreme combat conditions (body armor, heat, stress). • Systemic lupus erythematosus • Rheumatoid arthritis • Steroid use/ abuse
Dxhow: Plain CR and MRI
Exam: Swelling of patellar tendons and high riding patella bilaterally.
No MeSH data available.