medigraphic.com
ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2022, Number 4

<< Back

Ortho-tips 2022; 18 (4)

Total quadriceps tendon rupture and patellar dislocation in pediatric patient, fixation with non-resorbable suture anchor (2 twinfix® 3.5 mm) with five years of follow-up: case report

Espinosa-Uribe AG, Almaraz-Ledesma MA, Leyva-Lopez FA, Lopez-Valerio VM, Meza-Flores J, Valverde-Galindo LA, Ruiz-Díaz A, Gutiérrez-de OJ

Language: Spanish
References: 22
Page: 337-343
PDF size: 240.48 Kb.


ABSTRACT

Quadriceps muscle-tendon injuries constitute a serious and very rare pathology in the pediatric patient, with less than 30 cases described in the literature there is no treatment consensus with major concern in patellar ossification centers. The aim is to describe a rare case of complete rupture of the quadriceps tendon with horizontal dislocation of the patella. A 12-year-old male with the antecedent of unspecified respiratory infection treated with ciprofloxacin 1 year prior. Start 3 hours before falling from his height and receive direct trauma to the anterior aspect of the left knee in flexion. Physical examination, joint effusion, generalized pain, without palpable patellar border. Reduction of patellar dislocation was performed as well as quadriceps tendon repair with anchors. Informed consent was obtained from the patient and legal guardian for the follow-up and scientific diffusion. Currently, the lesion has been monitored for 36 months obtaining functional results of 85 points at three months and 100 points on the Lysholm scales during the rest of the follow-up period with a full range of motion of the knee. The surgical management with proximal anchors and tendon repair with subsequent rehabilitation of the lesion provided excellent functional results.


REFERENCES

  1. Adolphson P. Traumatic rupture of the quadriceps tendon in a 16-year-old girl: a case report. Arch Orthop Trauma Surg. 1992; 112 (1): 45-46.

  2. Aydemir G, Cakmak S, Aydinoz S. Partial rupture of the quadriceps muscle in a child. BMC Musculoskelet Disord. 2010; 11 (1): 214.

  3. Cetinkaya E, Aydin CG, Akman YE, Gul M, Arikan Y, Aycan OE, et al. A rare knee extensor mechanism injury: Vastus intermedius tendon rupture. Int J Surg Case Rep. 2015; 14: 186-188.

  4. Omololu B, Ogunlade SO, Alonge TO. Quadriceps tendon rupture in an adolescent. West Afr J Med. 2001; 20 (3): 272-273.

  5. Khanna G, El-Khoury G. Partial tear of the quadriceps tendon in a child. Pediatr Radiol. 2008; 38 (6): 706-708.

  6. Arnold EP, Sedgewick JA, Wortman RJ, Stamm MA, Mulcahey MK. Acute quadriceps tendon rupture: presentation, diagnosis, and management. JBJS Rev. 2022; 10 (2). Available in: https://journals.lww.com/10.2106/JBJS.RVW.21.00171

  7. Ibounig T, Simons TA. Etiology, diagnosis and treatment of tendinous knee extensor mechanism injuries. Scand J Surg. 2016; 105 (2): 67-72.

  8. Zuke WA, Go B, Weber AE, Forsythe B. Quadriceps tendon rupture in an adolescent athlete. Case Rep Orthop. 2017; 2017: 1-5.

  9. Pires e Albuquerque R, Santos Neto JF dos, Giordano V, Pires e Albuquerque MI, Amaral NP do, Barretto JM. Total rupture of the quadriceps muscle in an adolescent. Rev Bras Ortop Engl Ed. 2013; 48 (1): 111-113.

  10. Ciriello V, Gudipati S, Tosounidis T, Soucacos PN, Giannoudis PV. Clinical outcomes after repair of quadriceps tendon rupture: A systematic review. Injury. 2012; 43 (11): 1931-1938.

  11. Ilan DI, Tejwani N, Keschner M, Leibman M. Quadriceps tendon rupture. J Am Acad Orthop Surg. 2003; 11 (3): 192-200.

  12. Slone HS, Ence AK, Xerogeanes JW. Quadriceps tendon injuries. In: Evidence-based management of complex knee injuries [Internet]. Elsevier; 2022. pp. 381-384. Available in: https://linkinghub.elsevier.com/retrieve/pii/B9780323713108000347

  13. Nori S. Quadriceps tendon rupture. J Fam Med Prim Care. 2018; 7 (1): 257.

  14. Zengui ZF, El Adaoui O, Fargouch M, Okouango BJC, El Andaloussi Y, Fadili M. Quadriceps tendon repair using double row suture anchor fixation: Case reports and review of the literature. Int J Surg Case Rep. 2022; 92: 106838.

  15. Alexander VA, Keilin S, Cohn BT. Adolescent quadriceps mechanism disruption. Orthopedics. 2001; 24 (6): 591-593.

  16. Sesia SB, Hasler CC, Kóhler M, Mayr J. Partielle Quadrizepssehnenruptur bei einem sechsjáhrigen Jungen. Unfallchirurg. 2007; 110 (10): 907-910.

  17. Matsumoto K, Hukuda S, Ishizawa M, Kawasaki T, Okabe H. Partial rupture of the quadriceps tendon (Jumper's knee) in a ten-year-old boy. Am J Sports Med. 1999; 27 (4): 521-525.

  18. Lighthart WA, Cohen DA, Levine RG, Parks BG, Boucher HR. Suture anchor versus suture through tunnel fixation for quadriceps tendon rupture: a biomechanical study. Orthopedics. 2008; 31 (5): 1-4.

  19. Chauhan A, Maheswaran S, Anand S. Horizontal intraarticular dislocation of patella. A case report and review of literature. Inj Extra. 2014; 45 (9): 80-82.

  20. Dislocations. J Orthop Trauma. 2018; 32 (1): S107-116.

  21. Kumar K, Knight DJ. Sleeve fracture of the superior pole of patella: a case report. Knee Surg Sports Traumatol Arthrosc. 2005; 13 (4): 299-301.

  22. Lee D, Stinner D, Mir H. Quadriceps and patellar tendon ruptures. J Knee Surg. 2013; 26 (05): 301-308.




2020     |     www.medigraphic.com