Bilateral Quadriceps Tendon Rupture - Everything You Need To Know - Dr. Nabil Ebraheim скачать в хорошем качестве

Bilateral Quadriceps Tendon Rupture - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes the condition bilateral quadriceps tendon rupture - a metabolic problem. Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Find me on Instagram @OrthoInitiative Bilateral Quadriceps Tendon Rupture- A Metabolic Problem The quadriceps is a large group that includes the muscles of the front of the thigh. The quadriceps muscles work to extend the knee. Tear of the quadriceps tendon usually occurs about 2 cm above the proximal pole of the patella. Quadriceps tendon rupture is more common than patellar tendon rupture. Quadriceps rupture is typically more common in older patients and occurs more often in males. Rupture of the patellar tendon is usually more common in younger patients. The patella is high in patellar tendon rupture, and the patella is low in quadriceps tendon rupture. The patella is high in patellar tendon rupture because the intact quadriceps tendon is pulling it up. The patella position is low in quadriceps tendon rupture because the intact patellar tendon is pulling the patella down (distally). Bilateral rupture of the quadriceps tendon is rare. Bilateral rupture of the quadriceps tendon usually occurs in older patients, may be missed, or at least have a delay in the diagnosis, or may occur due to underlying disease. Possible underlying causes include rheumatoid arthritis, diabetes, gout, hyperthyroidism, renal failure, or steroid use. Patient with a quadriceps tendon rupture will be able to flex the knee but will not be able to extend the knee. Failure to actively extend the knee occurs because the tendon is not attached to the patella. Palpable defect above the knee cap. Clinical presentation is pain and swelling above the knee. The patient will be unable to walk. X-ray will show that the patella is in a lower position than normal. MRI is the best study which will clearly show the injury. The diagnosis of quadriceps tendon rupture is more difficult (if you suspect it, get an MRI). Surgery should be done early to allow repair of the tendon. Drilling holes into the patella for placement of sutures. Sutures are inserted through the quadriceps tendon for reattachment to the patella. Use a knee immobilizer for 4-6 weeks. Extension function of the knee is usually restored. The physician should be aware that bilateral quadriceps tendon rupture can occur. The patient should be examined for any underlying metabolic disease.