Peters K M, Bücheler D, Westerdorf G
Orthopädische Klinik, Rhein-Sieg-Klinik Nümbrecht.
Unfallchirurg. 2000 Feb;103(2):164-7. doi: 10.1007/s001130050029.
Bilateral ruptures of patellar tendon are a rare event and occur mainly in older patients suffering from systemic diseases like lupus erythematosus, chronic renal failure, rheumatoid arthritis or are taking longterm corticosteroids. Only few cases of spontaneous bilateral rupture of patellar tendon without underlying systemic disease are described in literature up to now. This report provides a patient with bilateral patellar tendon rupture, where in further check up and follow up only a mild diabetes mellitus treated by diet could be detected as systemic disease. In current opinion diabetes mellitus does not belong to the "typical" underlying systemic diseases for tendon ruptures. In literature research diabetes mellitus was only mentioned once together with a bilateral patellar tendon rupture.
双侧髌腱断裂是一种罕见的情况，主要发生在患有系统性疾病（如红斑狼疮、慢性肾衰竭、类风湿性关节炎）的老年患者中，或发生在长期服用皮质类固醇的患者身上。迄今为止，文献中仅描述了少数几例无潜在系统性疾病的自发性双侧髌腱断裂病例。本报告介绍了一名双侧髌腱断裂的患者，在进一步检查和随访中，仅发现一种通过饮食治疗的轻度糖尿病为系统性疾病。目前认为，糖尿病不属于肌腱断裂的“典型”潜在系统性疾病。在文献研究中，糖尿病仅与双侧髌腱断裂一同被提及过一次。
