Kelly B M, Rao N, Louis S S, Kostes B T, Smith R M
Department of Physical Medicine and Rehabilitation, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL, USA.
Arch Phys Med Rehabil. 2001 Mar;82(3):415-8. doi: 10.1053/apmr.2001.19784.
This is a single case report of bilateral, simultaneous, spontaneous rupture of the quadriceps tendon caused by obesity without trauma. The patient was a 52-year-old, 350-pound, morbidly obese man with a sedentary life style whose quadriceps tendons ruptured while he was descending a staircase. He presented with a large deficit superior to the patella and an inability to straighten his knees. After surgery, his knees were immobilized in extension for 6 weeks, followed by gradual weight bearing and gait training with braces. He was weaned off the braces as he increased the range of motion and strength in his knees. The rehabilitation process was protracted, and he returned to full-time work 6 months postinjury. Physiatrists should be familiar with the diagnosis, treatment, and rehabilitation of this rare condition.
这是一例关于因肥胖而非创伤导致双侧股四头肌肌腱同时自发性断裂的单病例报告。患者为一名52岁、体重350磅的病态肥胖男性，生活方式久坐不动，其股四头肌肌腱在他下楼梯时发生断裂。他表现为髌骨上方有大片缺损且无法伸直膝盖。手术后，他的膝盖伸直固定6周，随后逐渐负重并使用支具进行步态训练。随着膝盖活动范围和力量增加，他逐渐停用支具。康复过程漫长，他在受伤6个月后重返全职工作。物理治疗师应熟悉这种罕见病症的诊断、治疗和康复。
