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自发性双侧股四头肌腱断裂:一例报告。

Spontaneous bilateral quadriceps tendon rupture: a case report.

机构信息

Cedarcrest Hospitals Abuja, Abuja, Nigeria.

出版信息

Pan Afr Med J. 2020 Sep 23;37:84. doi: 10.11604/pamj.2020.37.84.22329. eCollection 2020.

DOI:10.11604/pamj.2020.37.84.22329
PMID:33244347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7680233/
Abstract

Quadriceps tendon rupture is an uncommon injury and mostly occurs among middle aged individuals that are involved in sports such as running or jumping. Spontaneous bilateral quadriceps tendon rupture is a rarer injury, however, can be debilitating. Patients with such injuries usually present with history of minor trauma, swelling and inability to actively extend the knee. Its occurrence secondary to minor trauma is mostly associated with chronic diseases and long-term use of certain medications. Occurrence of simultaneous bilateral quadriceps tendon rupture in the absence of trauma in a healthy patient with no known medical condition is yet to be reported and therefore requires a high index of suspicion for early diagnosis and effective management to avoid complications. The aim of this case report is to create awareness of the spontaneous occurrence of this injury in the absence of the reported risk factors. We report the unusual case of a 60-year old healthy man who presented with a spontaneous simultaneous bilateral quadriceps' tendon rupture in the absence of trauma and no medical risk factors. We report the unusual case of a 60-year old healthy man who presented with a spontaneous simultaneous bilateral quadriceps tendon rupture in the absence of trauma and no medical risk factors. Consent was taken from him to be used as a case report being a rare case. The man had full recovery after surgery and physiotherapy and was discharged home. Spontaneous bilateral quadriceps tendon rupture is a rare occurrence. The index case report is important as there was no history of trauma and it was bilateral.

摘要

股四头肌腱断裂是一种不常见的损伤,主要发生在从事跑步或跳跃等运动的中年人群中。自发性双侧股四头肌腱断裂是一种更罕见的损伤,但可能会使人致残。患有此类损伤的患者通常有轻微创伤、肿胀和无法主动伸直膝盖的病史。其继发于轻微创伤的发生大多与慢性疾病和长期使用某些药物有关。在没有已知医疗条件的健康患者中,同时发生双侧股四头肌腱断裂且无创伤的情况尚未有报道,因此需要高度怀疑,以便早期诊断和有效管理,以避免并发症。本病例报告的目的是提高对这种在无报道的危险因素情况下发生的自发性损伤的认识。我们报告了一例不常见的病例,一名 60 岁健康男性无创伤且无任何医疗风险因素的情况下发生自发性双侧股四头肌腱断裂。我们报告了一例不常见的病例,一名 60 岁健康男性无创伤且无任何医疗风险因素的情况下发生自发性双侧股四头肌腱断裂。征得患者同意将其作为罕见病例报告。该名男子在手术后和物理治疗后完全康复,并出院回家。自发性双侧股四头肌腱断裂是一种罕见的情况。本病例报告很重要,因为没有创伤史,而且是双侧的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c470/7680233/89cfc13f18c8/PAMJ-37-84-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c470/7680233/1322ee918a31/PAMJ-37-84-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c470/7680233/8171f9579399/PAMJ-37-84-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c470/7680233/25a429fdb3cd/PAMJ-37-84-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c470/7680233/89cfc13f18c8/PAMJ-37-84-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c470/7680233/1322ee918a31/PAMJ-37-84-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c470/7680233/8171f9579399/PAMJ-37-84-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c470/7680233/25a429fdb3cd/PAMJ-37-84-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c470/7680233/89cfc13f18c8/PAMJ-37-84-g004.jpg

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2
Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study.治疗股四头肌腱断裂的临床结果显示,使用缝合锚或经骨修复技术的结果相同 - 一项初步研究。
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Neglected rupture of the quadriceps tendon in a patient with chronic renal failure (case report and review of the literature).
Patellar and quadriceps tendon rupture are associated with hip fracture in hemodialysis patients with severe hyperparathyroidism.
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