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Quadriceps Tendon Rupture due to Postepileptic Convulsion.

Balik MS, Erkut A, Guvercin Y, Sahin R, Keskin D - Knee Surg Relat Res (2014)

Bottom Line: The cause is mostly traumatic in origin.Spontaneous ruptures that are thought to result from predisposing conditions are rare.Post-convulsion QT ruptures lacking traumas in their history can be overlooked in clinical examinations.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic and Traumatology, Recep Tayyip Erdogan University School of Medicine, Rize, Turkey.

ABSTRACT
We present a case of quadriceps tendon (QT) rupture. QT ruptures can occur in all ages. The cause is mostly traumatic in origin. Spontaneous ruptures that are thought to result from predisposing conditions are rare. Post-convulsion QT ruptures lacking traumas in their history can be overlooked in clinical examinations. This should be born in mind by the attending physician, as early diagnosis and treatment of the condition can lead to satisfactory outcomes.

No MeSH data available.


Related in: MedlinePlus

Ruptured quadriceps tendon was sutured using a Krackow technique.
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Figure 3: Ruptured quadriceps tendon was sutured using a Krackow technique.

Mentions: Disruption of the QT was detected by magnetic resonance imaging (MRI) (Fig. 1). The patient was operated on the second day of hospitalization. The distal part of the QT was reached by a vertical incision. The distal part was ruptured from the insertion area of the upper patellar region (Fig. 2). The bone surface and the ruptured surface of the tendon were refreshed. Then, tunnels were carved in the patella from proximal to distal direction. Krackow suturing was performed in the distal QT (Fig. 3). The free ends of the sutures were guided through these tunnels. The distal part of the QT was tied up with tension. During this procedure, the QT was tied up to the upper region of the patella where it was detached from. A leg-length splint was applied for 2 weeks after the operation. A leg-length-tube cast was applied after removal of the sutures, which allowed active movements of the ankle, for 6 weeks. Afterwards, physiotherapy for muscle strengthening and improvement of range of motion of the knee was initiated. The patient had no complaints three months after the operation.


Quadriceps Tendon Rupture due to Postepileptic Convulsion.

Balik MS, Erkut A, Guvercin Y, Sahin R, Keskin D - Knee Surg Relat Res (2014)

Ruptured quadriceps tendon was sutured using a Krackow technique.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4061405&req=5

Figure 3: Ruptured quadriceps tendon was sutured using a Krackow technique.
Mentions: Disruption of the QT was detected by magnetic resonance imaging (MRI) (Fig. 1). The patient was operated on the second day of hospitalization. The distal part of the QT was reached by a vertical incision. The distal part was ruptured from the insertion area of the upper patellar region (Fig. 2). The bone surface and the ruptured surface of the tendon were refreshed. Then, tunnels were carved in the patella from proximal to distal direction. Krackow suturing was performed in the distal QT (Fig. 3). The free ends of the sutures were guided through these tunnels. The distal part of the QT was tied up with tension. During this procedure, the QT was tied up to the upper region of the patella where it was detached from. A leg-length splint was applied for 2 weeks after the operation. A leg-length-tube cast was applied after removal of the sutures, which allowed active movements of the ankle, for 6 weeks. Afterwards, physiotherapy for muscle strengthening and improvement of range of motion of the knee was initiated. The patient had no complaints three months after the operation.

Bottom Line: The cause is mostly traumatic in origin.Spontaneous ruptures that are thought to result from predisposing conditions are rare.Post-convulsion QT ruptures lacking traumas in their history can be overlooked in clinical examinations.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic and Traumatology, Recep Tayyip Erdogan University School of Medicine, Rize, Turkey.

ABSTRACT
We present a case of quadriceps tendon (QT) rupture. QT ruptures can occur in all ages. The cause is mostly traumatic in origin. Spontaneous ruptures that are thought to result from predisposing conditions are rare. Post-convulsion QT ruptures lacking traumas in their history can be overlooked in clinical examinations. This should be born in mind by the attending physician, as early diagnosis and treatment of the condition can lead to satisfactory outcomes.

No MeSH data available.


Related in: MedlinePlus