Bruijn D J, Jansen B R
Reinier de Graaf Gasthuis, afd. Orthopedie, Delft.
Ned Tijdschr Geneeskd. 1990 Jul 7;134(27):1312-5.
Patellar tendon ruptures are relatively rare. The rupture may be caused by direct trauma, but is mostly caused by acute or chronic excessive traction force. Degenerative bone/tendon disease may also give rise to rupture. The diagnosis, which usually is not difficult to make, may easily be overlooked when active extension is still possible as may happen in case of a rupture due to an avulsion fracture at the tendon-bone junction. Impaired extension makes operative treatment necessary. Long term follow-up results show excellent function following early repair.
髌腱断裂相对少见。断裂可能由直接创伤引起,但大多是由急性或慢性过度牵拉力导致。退行性骨/腱疾病也可能引发断裂。诊断通常并不困难,但当仍可主动伸直时,如在腱-骨交界处撕脱骨折导致的断裂情况下,诊断可能容易被忽视。伸直功能受损则需要手术治疗。长期随访结果显示早期修复后功能良好。