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.
References
Nori S. Quadriceps tendon rupture. J Fam Med Primary Care. 2018;7:257–60.
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.
Clayton RA, Court-Brown CM. The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury. 2008;39:1338–44.
Ilan DI, Tejwani N, Keschner M, Leibman M. Quadriceps tendon rupture. J Am Acad Orthop Surg. 2003;11:192–200.
Karistinos A, Paulos LE. “Ciprofloxacin-induced” bilateral rectus femoris tendon rupture. Clin J Sport Med. 2007;17:406–7.
Stephenson AL, Wu W, Cortes D, Rochon PA. Tendon injury and fluoroquinolone use: a systematic review. Drug Saf. 2013;36:709–21.
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.
Dye S. Patellofemoral anatomy. The patellofemoral joint. New York: McGraw-Hill; 1993. p. 3–6.
Kaufer H. Mechanical function of the patella. J Bone Joint Surg Am. 1971;53:1551–60.
Grelsamer RP, Weinstein CH. Applied biomechanics of the patella. Clin Orthop Relat Res. 2001;389:9–14.
Huberti HH, Hayes WC, Stone JL, Shybut GT. Force ratios in the quadriceps tendon and ligamentum patellae. J Orthop Res. 1984;2:49–54.
Garrett WE Jr. Injuries to the muscle-tendon unit. Instr Course Lect. 1988;37:275–82.
Zanetti M, Hodler J. Ultrasonography and magnetic resonance tomography (MRI) of tendon injuries. Orthopade. 1995;24:200–8.
Kelly DW, Carter VS, Jobe FW, Kerlan RK. Patellar and quadriceps tendon ruptures – jumper’s knee. Am J Sports Med. 1984;12:375–80.
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.
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.
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.
Puranik GS, Faraj A. Outcome of quadriceps tendon repair. Acta Orthop Belg. 2006;72:176–8.
Wenzl ME, Kirchner R, Seide K, Strametz S, Jürgens C. Quadriceps tendon ruptures-is there a complete functional restitution? Injury. 2004;35:922–6.
Rougraff BT, Reeck CC, Essenmacher J. Complete quadriceps tendon ruptures. Orthopedics. 1996;19:509–14.
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.
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.
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.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2024 Springer Nature Switzerland AG
About this entry
Cite this entry
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
Download citation
DOI: https://doi.org/10.1007/978-3-030-82869-1_19-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-82869-1
Online ISBN: 978-3-030-82869-1
eBook Packages: Springer Reference MedicineReference Module Medicine