Alrashedan Bander S, Al Issa Ahmed M, Aldarwesh Adel F, Alharthi Saleh M
Department of Orthopedic Surgery, Ministry of Health (MOH), King Saud Medical City, Ulaishah, 7790 Al Imam Abdul Aziz Ibn Muhammad Ibn Saud, 12746, Riyadh, Saudi Arabia.
Trauma Case Rep. 2023 Aug 9;47:100883. doi: 10.1016/j.tcr.2023.100883. eCollection 2023 Oct.
Tendon injuries in weightlifters is known to be associated with steroid use. Bilateral simultaneous quadriceps tendon rupture (BSQTR) is extremely rare with few cases reported in literature in young athletes. Unlike patellar tendon ruptures, they are more common in older age individuals. These injuries can jeopardize an athlete's career. In this paper, we report a very rare case of BSQTR in an elite bodybuilder who sustained a high mechanism trauma while squatting heavyweights. He sustained bilateral anterior cruciate ligament (ACL) injury and a left ankle fracture. All injuries were treated surgically except for the left ACL as it was asymptomatic on follow-up. The challenge in this case was to treat his injuries and to regain his baseline functional status in the shortest period of time. Following treatment, the patient had a satisfactory clinical outcome with focused rehabilitation. Despite the devastating trauma, the patient was able to progress throughout the treatment plan and has regained his baseline functional status in less than 18 months and has resumed his competitive bodybuilding career. From the available literature, this is the first case to be reported with such combined injuries that was treated and showed a satisfactory outcome in a short period of time.
举重运动员的肌腱损伤已知与使用类固醇有关。双侧同时股四头肌肌腱断裂（BSQTR）极为罕见，文献中报道的年轻运动员病例很少。与髌腱断裂不同，它们在老年人中更为常见。这些损伤可能危及运动员的职业生涯。在本文中，我们报告了一例非常罕见的精英健美运动员双侧同时股四头肌肌腱断裂病例，该运动员在深蹲重物时遭受了高能量创伤。他还伴有双侧前交叉韧带（ACL）损伤和左侧踝关节骨折。除左侧ACL在随访中无症状外，所有损伤均接受了手术治疗。该病例的挑战在于治疗他的损伤，并在最短时间内恢复其基线功能状态。经过治疗，患者通过针对性康复获得了满意的临床结果。尽管遭受了严重创伤，但患者能够在整个治疗计划中取得进展，并在不到18个月的时间内恢复了基线功能状态，重新开始了他的竞技健美生涯。从现有文献来看，这是首例报道的合并此类损伤且在短时间内得到治疗并取得满意结果的病例。
