Simultaneous bilateral quadriceps tendon rupture: A case report and subject review

Both unilateral and simultaneous bilateral rupture of the quadriceps tendon are frequently misdiagnosed. Patients typically present to the emergency department after a fall associated with sudden sharp pain and inability to extend the knee. Most frequently, the patient is elderly. Those under age 40...

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Published inThe Journal of emergency medicine Vol. 5; no. 6; pp. 481 - 485
Main Authors Stephens, Brian O., Anderson, Gail V.
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.11.1987
Elsevier
Subjects
Online AccessGet full text
ISSN0736-4679
2352-5029
DOI10.1016/0736-4679(87)90210-1

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Abstract Both unilateral and simultaneous bilateral rupture of the quadriceps tendon are frequently misdiagnosed. Patients typically present to the emergency department after a fall associated with sudden sharp pain and inability to extend the knee. Most frequently, the patient is elderly. Those under age 40 with bilateral quadriceps rupture usually have an associated metabolic disorder. The 22-year-old uremic patient we report is the youngest case with simultaneous bilateral rupture of the quadriceps tendon described in the English literature. Emphasis is placed on the initial clinical presentation and management. In addition, the pathophysiology and differential diagnosis are reviewed.
AbstractList Both unilateral and simultaneous bilateral rupture of the quadriceps tendon are frequently misdiagnosed. Patients typically present to the emergency department after a fall associated with sudden sharp pain and inability to extend the knee. Most frequently, the patient is elderly. Those under age 40 with bilateral quadriceps rupture usually have an associated metabolic disorder. The 22-year-old uremic patient we report is the youngest case with simultaneous bilateral rupture of the quadriceps tendon described in the English literature. Emphasis is placed on the initial clinical presentation and management. In addition, the pathophysiology and differential diagnosis are reviewed.Both unilateral and simultaneous bilateral rupture of the quadriceps tendon are frequently misdiagnosed. Patients typically present to the emergency department after a fall associated with sudden sharp pain and inability to extend the knee. Most frequently, the patient is elderly. Those under age 40 with bilateral quadriceps rupture usually have an associated metabolic disorder. The 22-year-old uremic patient we report is the youngest case with simultaneous bilateral rupture of the quadriceps tendon described in the English literature. Emphasis is placed on the initial clinical presentation and management. In addition, the pathophysiology and differential diagnosis are reviewed.
Both unilateral and simultaneous bilateral rupture of the quadriceps tendon are frequently misdiagnosed. Patients typically present to the emergency department after a fall associated with sudden sharp pain and inability to extend the knee. Most frequently, the patient is elderly. Those under age 40 with bilateral quadriceps rupture usually have an associated metabolic disorder. The 22-year-old uremic patient we report is the youngest case with simultaneous bilateral rupture of the quadriceps tendon described in the English literature. Emphasis is placed on the initial clinical presentation and management. In addition, the pathophysiology and differential diagnosis are reviewed.
Author Anderson, Gail V.
Stephens, Brian O.
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10.1056/NEJM196205102661903
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Issue 6
Keywords simultaneous bilateral quadriceps rupture
tendon rupture
chronic renal failure
Human
Chronic
Urinary system disease
Concurrent
Renal failure
Tissue rupture
Diseases of the osteoarticular system
Quadriceps muscle
Bilateral
Tendon
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  year: 1984
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  article-title: Fractures about the knee
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  article-title: Bilateral simultaneous rupture of the quadriceps tendon
  publication-title: Br Med J
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  article-title: Dislocation and ligamentous injuries of the knee
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Snippet Both unilateral and simultaneous bilateral rupture of the quadriceps tendon are frequently misdiagnosed. Patients typically present to the emergency department...
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SubjectTerms Adult
Biological and medical sciences
chronic renal failure
Diseases of the osteoarticular system
Humans
Hyperparathyroidism, Secondary - complications
Kidney Failure, Chronic - complications
Knee Injuries - diagnostic imaging
Male
Medical sciences
Miscellaneous. Osteoarticular involvement in other diseases
Radiography
simultaneous bilateral quadriceps rupture
Tendon Injuries
tendon rupture
Title Simultaneous bilateral quadriceps tendon rupture: A case report and subject review
URI https://dx.doi.org/10.1016/0736-4679(87)90210-1
https://www.ncbi.nlm.nih.gov/pubmed/3323300
https://www.proquest.com/docview/77924792
Volume 5
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