Quintero Quesada J, Mora Villadeamigo J, Abad Rico J I
Department of Orthopaedic Surgery, Carlos Haya General Hospital, Malaga, Spain.
Acta Orthop Belg. 2003;69(1):89-92.
Bilateral rupture of the patellar tendons is a rare lesion, usually associated with systemic diseases such as systemic lupus erythematosus, rheumatoid arthritis, chronic renal failure and others. It is extremely rare in a healthy individual, with fewer than 15 cases described. A case of a 32-year-old male with no known history of systemic disease or knee problems is presented. Physical examination, xrays and MRI demonstrated bilateral rupture of the patellar tendons. The tendons were repaired using a nonabsorbable suture reinforced with two titanium anchors fixed to each patella, and a quadriceps tendon flap. The evolution was satisfactory, with both knees recovering a full range of motion in a four-month period.
双侧髌腱断裂是一种罕见的损伤，通常与系统性红斑狼疮、类风湿性关节炎、慢性肾衰竭等全身性疾病相关。在健康个体中极为罕见，报道的病例少于15例。本文介绍了一例32岁男性病例，该患者无全身性疾病或膝关节问题的已知病史。体格检查、X线和磁共振成像显示双侧髌腱断裂。采用不可吸收缝线，并在每个髌骨上固定两个钛锚进行加强，同时使用股四头肌肌腱瓣修复肌腱。恢复情况令人满意，四个月内双膝关节均恢复了全范围活动。
