SPORTS
MEDICINE REHABILITATION SECTIONSPONTANEOUS
QUADRICEPS RUPTURE IN
ATHLETE: RECONSTRUCTION
Lyrtzis
C, Fotiadis E, Papadopoulos A, Gantsos A, Svarnas T, Koimtzis M.
General
Hospital of
Veria – Orthopedic Department, Greece
Indroduction.
The aim of this study is the presentation of an unusual case of
spontaneous quadriceps tendon rupture in athlete and the surgical
treatment.
Material
– Method. A 28 years old athlete has visited the emergency
orthopedic department complaining of fulminant pain in the distal third
of his femur, during starting to run. On physical examination we found
pain on the distal third of the femur, a palpable hole between the ends
of the tendon and failure of the knee extension. X-ray was negative for
fracture. Surgical reconstruction has done immediately by passing
sutures through the patella and by using suture anchors. We amplified
and normalized the suture with graft jacket implant, because of the
end’s debridment. Postoperatively a brace has used for 6
weeks to protect the suture. We start passive and active rehabilitation
after the brace elimination. Results. Three months postoperatively, the
athlete has not any movement limitation of the knee and he returned to
his old activities and started again to run. Conclusion. The
reconstruction of the quadriceps tendon with patella passing sutures,
suture anchors and graft jacket implant is effective treatment for
ruptures with debridment of the tendon ends.
Key words:
quadriceps rupture, anchors, grafts implant.
