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Acute Quadriceps Tendon Repair

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Knee Arthroscopy and Knee Preservation Surgery

Abstract

Quadriceps tendon rupture is a relatively uncommon injury; however, these injuries can be significantly debilitating and require prompt identification and treatment by orthopedic surgeons. In this chapter, we have described the mechanism of these injuries along with the function of the native quadriceps tendon. We have also detailed both nonsurgical and surgical management comparing several techniques along with their respective outcomes. While surgical approach and technique may vary, postoperative rehabilitation and recovery is essential to the success of recovery from this injury. While these can be a debilitating problem if left untreated, there are many options available for the treating orthopedic surgeon.

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References

  1. Nori S. Quadriceps tendon rupture. J Fam Med Primary Care. 2018;7:257–60.

    Article  Google Scholar 

  2. Langenhan R, Baumann M, Ricart P, et al. Postoperative functional rehabilitation after repair of quadriceps tendon ruptures: a comparison of two different protocols. Knee Surg Sports Traumatol Arthrosc. 2012;20:2275–8.

    Article  PubMed  Google Scholar 

  3. Clayton RA, Court-Brown CM. The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury. 2008;39:1338–44.

    Article  PubMed  Google Scholar 

  4. Ilan DI, Tejwani N, Keschner M, Leibman M. Quadriceps tendon rupture. J Am Acad Orthop Surg. 2003;11:192–200.

    Article  PubMed  Google Scholar 

  5. Karistinos A, Paulos LE. “Ciprofloxacin-induced” bilateral rectus femoris tendon rupture. Clin J Sport Med. 2007;17:406–7.

    Article  PubMed  Google Scholar 

  6. Stephenson AL, Wu W, Cortes D, Rochon PA. Tendon injury and fluoroquinolone use: a systematic review. Drug Saf. 2013;36:709–21.

    Article  CAS  PubMed  Google Scholar 

  7. Yepes H, Tang M, Morris SF, Stanish WD. Relationship between hypovascular zones and patterns of ruptures of the quadriceps tendon. J Bone Joint Surg Am. 2008;90:2135–41.

    Article  PubMed  Google Scholar 

  8. Dye S. Patellofemoral anatomy. The patellofemoral joint. New York: McGraw-Hill; 1993. p. 3–6.

    Google Scholar 

  9. Kaufer H. Mechanical function of the patella. J Bone Joint Surg Am. 1971;53:1551–60.

    Article  CAS  PubMed  Google Scholar 

  10. Grelsamer RP, Weinstein CH. Applied biomechanics of the patella. Clin Orthop Relat Res. 2001;389:9–14.

    Article  Google Scholar 

  11. Huberti HH, Hayes WC, Stone JL, Shybut GT. Force ratios in the quadriceps tendon and ligamentum patellae. J Orthop Res. 1984;2:49–54.

    Article  CAS  PubMed  Google Scholar 

  12. Garrett WE Jr. Injuries to the muscle-tendon unit. Instr Course Lect. 1988;37:275–82.

    PubMed  Google Scholar 

  13. Zanetti M, Hodler J. Ultrasonography and magnetic resonance tomography (MRI) of tendon injuries. Orthopade. 1995;24:200–8.

    CAS  PubMed  Google Scholar 

  14. Kelly DW, Carter VS, Jobe FW, Kerlan RK. Patellar and quadriceps tendon ruptures – jumper’s knee. Am J Sports Med. 1984;12:375–80.

    Article  CAS  PubMed  Google Scholar 

  15. Anagnostakos K, Lorbach O, Reiter S, Kohn D. Comparison of five patellar height measurement methods in 90° knee flexion. Int Orthop. 2011;35:1791–7.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Elattar O, McBeth Z, Curry EJ, Parisien RL, Galvin JW, Li X. Management of chronic quadriceps tendon rupture: a critical analysis review. JBJS Rev. 2021;9:e20.00096.

    Article  Google Scholar 

  17. Ciriello V, Gudipati S, Tosounidis T, Soucacos PN, Giannoudis PV. Clinical outcomes after repair of quadriceps tendon rupture: a systematic review. Injury. 2012;43:1931–8.

    Article  PubMed  Google Scholar 

  18. Puranik GS, Faraj A. Outcome of quadriceps tendon repair. Acta Orthop Belg. 2006;72:176–8.

    PubMed  Google Scholar 

  19. Wenzl ME, Kirchner R, Seide K, Strametz S, Jürgens C. Quadriceps tendon ruptures-is there a complete functional restitution? Injury. 2004;35:922–6.

    Article  CAS  PubMed  Google Scholar 

  20. Rougraff BT, Reeck CC, Essenmacher J. Complete quadriceps tendon ruptures. Orthopedics. 1996;19:509–14.

    CAS  PubMed  Google Scholar 

  21. Serino J, Mohamadi A, Orman S, et al. Comparison of adverse events and postoperative mobilization following knee extensor mechanism rupture repair: a systematic review and network meta-analysis. Injury. 2017;48:2793–9.

    Article  PubMed  Google Scholar 

  22. Onggo JR, Babazadeh S, Pai V. Smaller gap formation with suture anchor fixation than traditional transpatellar sutures in patella and quadriceps tendon rupture: a systematic review. Arthroscopy. 2022;38:2321.

    Article  PubMed  Google Scholar 

  23. Le AH, Roach WB, Mauntel TC, et al. A biomechanical comparison of high-tensile strength tape versus high-tensile strength suture for tendon fixation under cyclic loading. Arthroscopy. 2021;37:2925–33.

    Article  PubMed  Google Scholar 

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Correspondence to Alex Lencioni .

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Lencioni, A., Elrick, B.P., Bradsell, H.L., Frank, R.M. (2024). Acute Quadriceps Tendon Repair. In: Sherman, S.L., Chahla, J., Rodeo, S.A., LaPrade, R. (eds) Knee Arthroscopy and Knee Preservation Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-82869-1_19-1

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  • DOI: https://doi.org/10.1007/978-3-030-82869-1_19-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-82869-1

  • Online ISBN: 978-3-030-82869-1

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