Murphy Suzanne M, McAleese Timothy, Elghobashy Osama, Walsh James
Department of Trauma and Orthopaedics, Beaumont Hospital, Dublin, Ireland.
Trauma Case Rep. 2022 Apr 30;40:100643. doi: 10.1016/j.tcr.2022.100643. eCollection 2022 Aug.
We describe the case of a 25 year old male who presented with a bilateral patellar tendon ruptures without any of the identified risk factors for tendon injuries. Our patient is the youngest adult reported to date with confirmed bilateral, unprovoked, patellar tendon ruptures. We accompany our case with an up-to-date literature review on this topic. A degree of clinical suspicion is required for emergency room physicians as well as orthopaedic surgeons assessing such patients to avoid missing bilateral injuries. Point of care ultrasound may be utilised when there is doubt regarding the diagnosis. Prompt surgical management and a specific rehabilitation programme are both required to ensure maximum recovery of these patients.
我们描述了一名25岁男性的病例，该患者双侧髌腱断裂，且无任何已确定的肌腱损伤风险因素。我们的患者是迄今为止报告的最年轻的确诊双侧、自发性髌腱断裂的成年人。我们在病例报告的同时，对该主题进行了最新的文献综述。急诊室医生以及评估此类患者的骨科医生需要有一定程度的临床怀疑，以避免漏诊双侧损伤。当对诊断存在疑问时，可使用床旁超声。为确保这些患者最大程度的康复，需要及时进行手术治疗并制定特定的康复计划。
