Riojas Ramon A, Folio Les
School of Medicine, Uniformed Services University, Bethesda, Maryland 20814, USA.
Mil Med. 2009 Jul;174(7):iii-iv.
Patellar tendon rupture is a rare occurrence usually associated with chronic degeneration within the tendon, systemic illness, and fluoroquinolone therapy as mentioned previously. However in healthy adults, overweight men in their 3rd or 4th decade of life may be at increased risk when partaking in athletic activities, especially jumping activities. Patella alta is a key finding on physical exam and on radiographs as was evident in our case. Imaging can also be performed with ultrasound and MRI to confirm tendon rupture and rule out other concurrent injuries. Prompt surgical management and early rehabilitation are key to regaining normal function of the extensor mechanism. Preventive medicine education may be important for those at increased risk of injury.
髌腱断裂是一种罕见的情况，通常与肌腱内的慢性退变、全身性疾病以及如前所述的氟喹诺酮治疗有关。然而，在健康成年人中，30多岁或40多岁的超重男性在参加体育活动，尤其是跳跃活动时，风险可能会增加。高位髌骨是体格检查和X线片上的一个关键发现，在我们的病例中很明显。也可以通过超声和磁共振成像进行影像学检查，以确认肌腱断裂并排除其他并发损伤。及时的手术治疗和早期康复是恢复伸肌机制正常功能的关键。对于受伤风险增加的人群，预防医学教育可能很重要。
