2019-05-02

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Dr. Ebraheim’s educational animated video describes the condition of quadriceps tendon rupture. Follow me on twitter:https://twitter.com/#!/DrEbraheim_UTMCTh

Ten patients with 13 ruptures have been seen at the Massachusetts General Hospital in the last nine years. Clinically, the patient is unable to actively extend the knee. Quadriceps tendinosis and tendon rupture obviously affect the distal quadriceps tendon 4-6. Subtypes. Quadriceps injuries can be classified based on type and location into the following: rectus femoris injury. anterior inferior iliac spine avulsion; proximal rectus femoris tendon injury; myotendinous injury (common) myofascial injury (uncommon) Traumatic rupture of the quadriceps tendon is an uncommon knee injury which occurs in the elderly, and/or the obese, and in those with underlying systemic disease.

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22.3). On ultrasound, patella alta results in the trochlear groove, normally hidden behind the patella, becomes visible, while examination of the tendon itself will demonstrate the discontinuity ( Fig. 22.4 ). Emergency Radiology, Vol. 1, No. 3 Radiographic diagnosis of quadriceps tendon rupture: Analysis of diagnostic failure The Journal of Emergency Medicine, Vol. 12, No. 2 Patellar Ligament [Quadriceps Tendon]: Example. Click here to launch this case. Click here to watch a Case Review with Dr. Pomeranz. HISTORY: 56-year-old female with right medial and anterior knee pain, instability, weakness and stiffness x5 days.

In the injured tendon, complete rupture produced transection of all the layers. Incomplete ruptures were seen as focal discontinuities of individual layers; other layers remained intact. The existence of a layered configuration of the quadriceps tendon is significant in the MR examination of partial ruptures.

Case: A 51-year-old male construction worker with a history of chronic quadriceps tendon rupture presented with no active knee extension and tricompartmental knee osteoarthritis. He underwent simultaneous total knee arthroplasty and extensor mechanism allograft reconstruction. At 4 years postoperatively, the patient had pain-free knee function and active extension. Arthrography revealed an abnormal tract of contrast agent dissecting from the suprapatellar bursa into the soft tissue anterior to the patella and downward to a level 9 cm beneath the tibial plateau in a patient with complete rupture of the quadriceps tendon.

Dr. Ebraheim’s educational animated video describes the condition of quadriceps tendon rupture. Follow me on twitter:https://twitter.com/#!/DrEbraheim_UTMCTh

Radiologic case study. Quadriceps tendon rupture. Goelitz BW(1), Lomasney LM, Demos TC. Author information: (1)Department of Radiology, Loyola University Medical Center, Maywood, IL 60153, USA. Quadriceps tendon ruptures usually occur in people aged >40 years who have underlying medical conditions. Arthrography revealed an abnormal tract of contrast agent dissecting from the suprapatellar bursa into the soft tissue anterior to the patella and downward to a level 9 cm beneath the tibial plateau in a patient with complete rupture of the quadriceps tendon.

Fig. 1. Lateral radiographs of right (A) and left (B) knees showing patella baja and calcification of quadriceps tendons (arrows).
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Tears usually … Among injuries to the knee, quadriceps femoris tendon tears are relatively uncommon but important injuries, with a reported incidence of complete rupture of 1.37 per 100,000 per year. 1 Prompt diagnosis and treatment facilitate improved functional outcomes for quadriceps tendon rupture, thereby avoiding tendon retraction and quadriceps atrophy that may occur with delayed repair. 2, 3 Clinical Quadriceps tendon rupture is an uncommon injury, which may benefit from early operative repair. However, clinical assessment is frequently inaccurate and delayed diagnosis is common.

The existence of a layered configuration of the quadriceps tendon is significant in the MR examination of partial ruptures. It can help not only in detecting and localizing injuries but also in determining appropriate treatment based on the number or thickness of injured layers. Radiology 125:367-371, November 1977 RAUMATIC RUPTURE of the quadriceps tendon is an uncommon knee injury which causes disruption of the extensor mechanism of the knee.
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The quadriceps tendon is ill-defined and ruptured, with surrounding hematoma. There is wavy appearance of the patellar ligament. Prepatellar soft tissue swelling noted. Multiple suprapatellar calcified bodies, in keeping with osteochondromatosis.

From the case: Quadriceps tendon rupture Abstract Traumatic rupture of the quadriceps tendon is an uncommon knee injury which occurs in the elderly, and/or the obese, and in those with underlying systemic disease. Ten patients with 13 ruptures have been seen at the Massachusetts General Hospital in the last nine years. Clinically, the patient is unable to actively extend the knee.


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The rupture caused a massive fireball that killed eight people, injured 58 others and damaged Tree rings were clearly visible, and radiology director Andy Lanway said was ruled out Sunday after an MRI revealed a strained left quadriceps.

Feb 16, 2021 Bilateral Quadriceps Tendon Rupture. Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA. Bilateral Quadriceps Tendon Rupture. Sep 13, 2019 Quadriceps tendinopathy encompasses quadriceps tendonitis (acute from hip pathology; Patellar tendon rupture · Quadriceps tendon rupture  Imaging Tests · X-rays. The kneecap moves out of place when the quadriceps tendon tears. This is often very obvious on a "sideways" X-ray view of the knee. · MRI. Failure of the quadriceps or patellar tendon most commonly occurs at the bony attachment site Repair of Quadriceps Tendon Ruptures Using Suture Anchors. Jan 5, 2017 Urgent message: Quadriceps tendon tears are misdiagnosed frequently, leaving patients at excessive risk for long-term disability.

Quadriceps tendon rupture is an uncommon injury, which may benefit from early operative repair. However, clinical assessment is frequently inaccurate and delayed diagnosis is common.

Click here to watch a Case Review with Dr. Pomeranz. HISTORY: 56-year-old female with right medial and anterior knee pain, instability, weakness and stiffness x5 days. No injury. Limited range of motion, unable to lift or bend. Evaluate for quadriceps tendon rupture. The quadriceps tendon is made of four tendons but comes in three layers on sagittal images. It has a broad attachment all the way from the front of the patella almost to the back.

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