Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use
Rida-Allah Bassir, Aniss Chagou
The Pan African Medical Journal. 2014;18:335. doi:10.11604/pamj.2014.18.335.4218

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Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use

Cite this: The Pan African Medical Journal. 2014;18:335. doi:10.11604/pamj.2014.18.335.4218

Received: 19/03/2014 - Accepted: 18/08/2014 - Published: 26/08/2014

Key words: Patellar tendons, spontaneous rupture, systemic disease

© Rida-Allah Bassir et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/18/335/full

Corresponding author: Rida-Allah Bassir, Department of Orthopaedic Surgery and Traumatology, Mohamed V Souissi University, 10000 Rabat, Morocco (bredaallah@gmail.com)


Bilateral, simultaneous, spontaneous rupture of patellar tendons without predisposing systemic disease or steroid use

 

Rida-Allah Bassir1,&, Aniss Chagou1

 

1Mohamed V Souissi University, Department of Orthopaedic Surgery and Traumatology, Rabat, Morocco

 

 

&Corresponding author
Rida-Allah Bassir, Department of Orthopaedic Surgery and Traumatology, Mohamed V Souissi University, 10000 Rabat, Morocco

 

 

Image in medicine

Bilateral patellar tendon rupture is usually associated with systemic immunologic or connective tissue disease, steroid use, fluoroquinolone antibiotic use, or renal disease. Amongst the spontaneous cases, bilateral ruptures are exceedingly rare and have only been documented in a few case reports. We present a case of bilateral midsubstance patellar tendon ruptures along from a fall from a standing height in a 34-year-old otherwise healthy adult without any predisposing conditions, diagnosed in clinical examination with a little extension deficit, and confirmed in plain radiographs showing a bilateral patella alta (A, B). Most patients that sustain a tendon rupture have risk factors for tendinopathy including chronic renal disease, systemic lupus erythematosus, rheumatoid arthritis, or exposure to medications (such as fluoroquinolones or corticosteroids). To the best of our knowledge, this condition is often misdiagnosed. Despite the rarity of cases in patient's without systemic disease, emergency physicians must maintain a high index of suspicion of a knee extensor injury in a patient who is unable to actively extend the knees associated with patella alta.

Figure 1: A) Bilateral frontal radiographs of the knee showing a patella alta; B) Bilateral lateral radiographs of the knee showing a patella alta

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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