Moy Adrian, Song Ethan, Wallace Sean J, Teixeira Robert, Torres Daniel
Orthopedic Surgery, University of South Florida Morsani College of Medicine, Tampa, USA.
Plastic Surgery, University of South Florida Morsani College of Medicine, Tampa, USA.
Cureus. 2020 Sep 25;12(9):e10649. doi: 10.7759/cureus.10649.
A bilateral patellar tendon rupture is extremely rare and has only been documented in case reports. Although the etiology remains unknown, predisposing factors include steroid usage, systemic diseases, and tendinopathies. In the present case, a healthy 33-year-old male with a prior history of bilateral patellar tendonitis and a diagnosis of Osgood-Schlatter disease during adolescence experienced simultaneous bilateral patellar tendon rupture after playing volleyball. He underwent bilateral patellar repair without complications. In the absence of trauma, spontaneous bilateral patellar tendon ruptures are associated with several predisposing factors, including systemic diseases, prior corticosteroid or fluoroquinolone usage, and history of tendinopathy. Injuries can be classified based on the location of the rupture. Bilateral patellar tendon ruptures can be misdiagnosed due to the rarity of cases and the lack of a normal comparative knee. Radiographic techniques can aid in the diagnosis, leading to early surgical treatment and improved outcomes. Early diagnosis and prompt surgical repair contribute to good functional outcomes in this potentially debilitating injury pattern.
双侧髌腱断裂极为罕见,仅有病例报告记载。尽管病因尚不明,但诱发因素包括使用类固醇、全身性疾病和肌腱病。在本病例中,一名33岁健康男性,既往有双侧髌腱炎病史,青春期曾被诊断为胫骨结节骨软骨炎,在打排球后同时发生双侧髌腱断裂。他接受了双侧髌腱修复,未出现并发症。在无外伤情况下,自发性双侧髌腱断裂与多种诱发因素有关,包括全身性疾病、既往使用皮质类固醇或氟喹诺酮类药物以及肌腱病史。损伤可根据断裂位置进行分类。由于病例罕见且缺乏正常对照膝关节,双侧髌腱断裂可能被误诊。影像学技术有助于诊断,从而实现早期手术治疗并改善预后。对于这种可能导致功能障碍的损伤类型,早期诊断和及时手术修复有助于获得良好的功能预后。