Leong Wei Yee, Gheorghiu Daniel, Rao Janardhan
Countess of Chester NHS Foundation Trust United Kingdom.
J Orthop Case Rep. 2013 Jul-Sep;3(3):22-5. doi: 10.13107/jocr.2250-0685.110.
There have been multiple reported cases of bilateral quadriceps tendon ruptures (QTR) in the literature. These injuries frequently associated with delayed diagnosis, which results in delayed surgical treatment. In very unusual cases, bilateral QTRs can be associated with other simultaneous tendon ruptures.
We present a rare case of bilateral QTR with a simultaneous Achilles Tendon Rupture involving a 31 years old Caucasian man who is a semi-professional body builder taking anabolic steroids. To date bilateral QTR with additional TA rupture has only been reported once in the literature and to our knowledge this is the first reported case of bilateral QTR and simultaneous TA rupture in a young, fit and healthy individual.
The diagnosis of bilateral QTR alone can sometimes be challenging and the possibility of even further tendon injuries should be carefully assessed. A delay in diagnosis could result in delay in treatment and potentially worse outcome for the patient.
文献中已有多例双侧股四头肌肌腱断裂(QTR)的报道。这些损伤常与诊断延迟相关,进而导致手术治疗延迟。在极为罕见的情况下,双侧股四头肌肌腱断裂可伴有其他同时发生的肌腱断裂。
我们呈现了一例罕见的双侧股四头肌肌腱断裂合并跟腱同时断裂的病例,患者为一名31岁的白种男性,是一名服用合成代谢类固醇的半职业健美运动员。迄今为止,双侧股四头肌肌腱断裂合并胫前肌断裂仅在文献中被报道过一次,据我们所知,这是首例在年轻、健康且体格健壮的个体中发生的双侧股四头肌肌腱断裂及胫前肌同时断裂的病例。
仅双侧股四头肌肌腱断裂的诊断有时就颇具挑战性,应仔细评估是否存在更严重肌腱损伤的可能性。诊断延迟可能导致治疗延迟,并可能给患者带来更差的预后。