Kellersmann Richard, Blattert Thomas R, Weckbach Arnulf
Trauma and Reconstructive Surgery, Würzburg University Hospital, Würzburg, Germany.
Arch Orthop Trauma Surg. 2005 Mar;125(2):127-33. doi: 10.1007/s00402-004-0782-2. Epub 2005 Jan 12.
Simultaneous bilateral patella tendon ruptures are very rare injuries of the knee extensor complex often associated with systemic disorders such as lupus erythematosus or rheumatoid arthritis. We describe the case of a 34-year-old man without concomitant systemic disease or steroid use and provide the most comprehensive review of the German and English literature. Furthermore, we discuss the predisposing factors and causal mechanisms as well as current diagnostic procedures and treatment options. In the literature review, only a few patients without systemic disorder or steroid medication present with potential predisposing factors that may be responsible for degenerative changes of the patella tendon, weakening its stability. In addition, in most of these cases, it remains difficult to explain the bilateral and simultaneous nature of this injury.
双侧髌腱同时断裂是膝关节伸肌复合体非常罕见的损伤，常与系统性疾病如红斑狼疮或类风湿关节炎相关。我们描述了一名34岁男性的病例，该患者无并发系统性疾病或使用类固醇药物，并对德语和英语文献进行了最全面的综述。此外，我们讨论了易感因素和因果机制以及当前的诊断程序和治疗选择。在文献综述中，只有少数无系统性疾病或类固醇药物治疗的患者存在可能导致髌腱退行性改变、削弱其稳定性的潜在易感因素。此外，在大多数这些病例中，仍难以解释这种损伤的双侧性和同时性。
