Juliato Raul Hernandez, Boschi Luis Henrique, Juliato Raul Francisco, Freitas Americo Pinto de, França Alexandre Felipe, Bottura Lourenço Betti
Hospital São Domingos-Unimed, Catanduva, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2019 Apr;54(2):223-227. doi: 10.1016/j.rbo.2017.12.023. Epub 2019 Apr 15.
Bilateral atraumatic rupture of the patellar ligament is a rare lesion, usually associated with systemic diseases and drugs such as steroids and fluoroquinolones. This report presents a case of bilateral atraumatic rupture of the patellar ligament in a 43-year-old male with obesity, type 2 diabetes mellitus, and who was being treated with a systemic corticosteroid for autoimmune disease (Wegener granulomatosis). These factors caused chronic degenerative and inflammatory changes in the ligaments, confirmed by the histological examination. Due to tissue quality, a primary ligament repair associated to an augmentation with semitendinosus tendon was performed. After 1 year, the patient presented satisfactory evolution, regaining the full range of motion and returning to his usual activities without sequelae.
双侧髌韧带无创伤性断裂是一种罕见的损伤，通常与全身性疾病以及类固醇和氟喹诺酮类等药物有关。本报告介绍了一例43岁男性双侧髌韧带无创伤性断裂的病例，该患者患有肥胖症、2型糖尿病，正接受全身性皮质类固醇治疗自身免疫性疾病（韦格纳肉芽肿病）。这些因素导致韧带发生慢性退行性和炎症性改变，组织学检查证实了这一点。由于组织质量问题，进行了与半腱肌腱增强相关的一期韧带修复。1年后，患者恢复情况良好，恢复了全关节活动范围，且无后遗症地恢复了日常活动。
