Ilan Doron I, Tejwani Nirmal, Keschner Mitchell, Leibman Matthew
Department of Orthopaedic Surgery, NYU-Hospital for Joint Diseases, New York, USA.
J Am Acad Orthop Surg. 2003 May-Jun;11(3):192-200. doi: 10.5435/00124635-200305000-00006.
Rupture of the quadriceps tendon is an uncommon yet serious injury requiring prompt diagnosis and early surgical management. It is more common in older (>40 years) individuals and sometimes is associated with underlying medical conditions. In particular, bilateral spontaneous rupture may be associated with gout, diabetes, or use of steroids. Clinical findings typically include the triad of acute pain, impaired knee extension, and a suprapatellar gap. Imaging studies are useful in confirming the diagnosis. Although incomplete tears may be managed nonsurgically, complete ruptures are best treated with early surgical repair.
股四头肌肌腱断裂是一种罕见但严重的损伤，需要及时诊断和早期手术治疗。它在年龄较大（>40岁）的个体中更为常见，有时与潜在的疾病有关。特别是，双侧自发性断裂可能与痛风、糖尿病或使用类固醇有关。临床症状通常包括急性疼痛、膝关节伸展受限和髌上间隙这三联征。影像学检查有助于确诊。虽然不完全撕裂可以非手术治疗，但完全断裂最好早期进行手术修复。
