Pallis Dimitrios, Tsivelekas Konstantinos, Nikolakakos Petros, Ampadiotaki Margarita-Michaela, Kokkinis Constantinos, Papadakis Stamatios A
B' Department of Orthopaedics, KAT General Hospital of Attica, Athens 15124, Greece.
Department of Radiology, KAT General Hospital of Attica, Athens 15124, Greece.
J Surg Case Rep. 2023 Jun 17;2023(6):rjad351. doi: 10.1093/jscr/rjad351. eCollection 2023 Jun.
Quadriceps tendon ruptures are common injuries, however isolated ruptures are rare. Particularly, reports for isolated vastus intermedius ruptures are very scarce. We present a case of a 62-years-old male patient who sustained a complete rupture of vastus intermedius tendon with a partial rupture of vastus medialis while rectus femoris tendon was intact, after a fall from standing height. Due to lag in extension, surgical treatment was performed, consisted of an end-to-end Krakow suture technique accompanied with two anchors placed on osseous attachment to the superior pole of the patella. A hinged knee brace locked in full extension was applied for 4 weeks. Gradual range of flexion was suggested after the 3rd postoperative week. Full range of motion was achieved in the 7th postoperative week.
股四头肌肌腱断裂是常见损伤，但孤立性断裂很少见。特别是，关于孤立性股中间肌断裂的报道非常稀少。我们报告一例62岁男性患者，他从站立高度跌倒后，股中间肌肌腱完全断裂，股内侧肌部分断裂，而股直肌肌腱完整。由于伸直滞后，进行了手术治疗，采用端对端的克拉科夫缝合技术，并在髌骨上极的骨附着处放置两个锚钉。应用锁定在完全伸直位的铰链式膝关节支具4周。术后第3周后建议逐渐增加屈曲范围。术后第7周实现了全关节活动范围。
