A Rare Case of Post-Traumatic Partial Rupture of the Quadriceps Tendon

M. Boui, B. Slioui, Z. Zouaki, N. Hammoune, M. Atmane, A. Mouhsine
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Abstract

Traumatic ruptures of the quadriceps tendon are rare and usually occur after the age of 40, as a result of indirect trauma in athletes (contrary flexion of the knee) or minor trauma in sedentary individuals. Pre-existing tendinopathy is common. The rupture is most often complete and occurs at the body of the tendon in 60% of cases, or quadricipital avulsion at the upper edge of the patella (40% of cases). The diagnosis is primarily clinical, with complementary examinations (ultrasound and magnetic resonance imaging) playing a key role. Surgical treatment, combined with functional rehabilitation, produces better outcomes. The timing of intervention is a very important prognostic factor. We report a case of post-traumatic rupture of the quadriceps tendon in a 47-year-old patient.
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一例罕见的外伤性股四头肌肌腱部分断裂
外伤性股四头肌肌腱断裂是罕见的,通常发生在40岁以后,这是运动员的间接创伤(膝关节反向弯曲)或久坐者的轻微创伤的结果。预先存在的肌腱病变是常见的。断裂通常是完全的,60%的病例发生在肌腱体,或者髌骨上缘的头四头撕脱(40%的病例)。诊断主要是临床,辅助检查(超声和磁共振成像)起关键作用。手术治疗结合功能康复治疗效果较好。干预的时机是一个非常重要的预后因素。我们报告一个病例创伤后的四头肌肌腱断裂在一个47岁的病人。
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