Quadriceps Tendon Rupture - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describes the condition of quadriceps tendon rupture.
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The quadriceps is a large muscle that lies in front of the thigh. The quadriceps muscle extends the knee.
Tear of the quadriceps tendon will lead to disruption of the extensor mechanism. Quadriceps tendon rupture usually occurs in patients older than 40 years old and it usually occurs more often in males. Rupture usually occurs at the insertion of the tendon to the patella, just above the superior pole of the patella. Rupture of the patellar tendon is usually more common in younger patients. When the patellar tendon ruptures, the patella moves proximally. In case of tear of the quadriceps tendon, the patella moves distally due to the pull of the patellar tendon. In x-rays, you can see the patella baja and the chronic calcinosis, which may have caused weakness of the quadriceps tendon. Calcification indicates that the quadriceps tendon is not healthy. Bilateral rupture of the quadriceps tendon is rare, but is can occur! Bilateral Rupture of the Quadriceps tendon usually occurs: In older patients, may be missed or diagnosis could be delayed, or may occur due to underlying disease.
Predisposed conditions to quadriceps tendon rupture:
- Rheumatoid arthritis
- Diabetes
- Hyperparathyroidism
- Steroid injection in the knee
- Renal failure
- Gout
How does of the quadriceps tendon rupture?
It occurs due to elongation and failure of the tendon due to excessive loading of the knee extensor mechanism.
The tear can be partial or complete and the patient will complain of vague knee pain, swelling, and extensor lag. The patient will not be able to walk. Patient will be unable to extend the knee or do a straight leg raise. The quadriceps tendon is not attached to the patella (it is disconnected), so the patient cannot do straight leg raise of the leg or extend the knee. Defect at the superior pole of the patella within 2 cm from the patella. If the defect is present and the patient is still able to extend the knee, then the extensor retinaculum is intact or the tear of the quadriceps tendon is partial. The x-ray will show patella infera and you will not see patella alta in contrast to the patellar tendon rupture.
You will see loss of the quadriceps tendon mass and the patella will be in a lower position than normal. You will that there is an inferior position of the patella (patella infera). In patellar tendon rupture, the xray will show proximal migration of the patella, called patella alta. MRI is the probably the best study which will clearly show the injury, especially if you are not sure if the injury is partial or complete. If the clinical picture is very obvious, then you really do not need the MRI.
TREATMENT
Surgery should be done early to allow repair of thetendon, in case of a complete rupture of the tendon with loss of the extensor mechanism. The tendon is repaired to the superior pole of the patella.
Surgery
- We use running, locking, nonabsorbable sutures in the tendon (usually two sutures).
- There will be four free ends of the sutures which you pass through bone tunnels through the patella.
- You will tie these sutures and repair the retinaculum.
- Suture anchors may be used instead of the bony tunnels.
After you finish the operation, immobilize the knee in a splint or a brace for a period of 4 - 6 weeks.
COMPLICATIONS OF QUADRICEPS TENDON RUPTURE & REPAIR
You may lose approximately 1/3 of the quadriceps muscle strength. Stiffness of the knee.
The patient with bilateral quadriceps tendon rupture should be examined for any underlying disease.
Пікірлер: 47
Very informative video!
Amazing Video As Usual
Thank you as always !
Thank you for explaining this!!
Great video. Thankyou
Currently recovering from bilateral rupture of the quadriceps from jumping on a trampoline. I’m 29 years old and am in good physical condition. Every doctor I’ve spoken with is amazed that I managed to rupture both. I really hope I can recover my range of motion and strength as I love playing sports and doing outdoor activities. Thanks for the informative video!
@addjgarner
Жыл бұрын
I can see this is a 1 year old post. Can I ask how satisfied you are with the recovery? where you are up to? I'm currently sitting on ,my couch, leg splinted, and in pain. I'm 43, and I bilateral ruptured the quad tendon on a....... wait for it.......... TRAMPOLINE!!! Snap! (sorry for the pun) I'm a very healthy physical person with an extensive background in elite gymnastics and a acrobatic career including working with Cirque du Soleil. I have never even had my knee in a brace before and the thing I was doing on the trampoline wasn't exactly what I would call high impact so the whole thing is a massive shock. This video has been helpful- I can send it to friends and relatives to explain the deal. I hope your recover has gone well.
@Ratcat001
Жыл бұрын
sorry to hear about your injury. how was your recovery? do you have normal motion on your leg now? I just had my operation 2 days ago. it's was a really bad rupture further up the leg, the worst the doctor had ever seen. I'm 59 so I'm not Sure if I'm going too have a full recovery to normal motion again
@hairyelder5019
Жыл бұрын
Same for me. Jumped a few inches off the ground 5 minutes into playing basketball with the kids. Came crashing down like a house of cards. Almost complete tear of both quad tendons is what the MRI said. Opted not to have surgery instead had 2 rounds of stem cell injections into both knees. Today left knee is worse than right. Decline slopes and stairs are still tricky but I can go uphill fine and some doctors I’ve seen are surprised by my range of motion and strength. I’m back to squatting but I keep the weight moderate. Not able to jog however. Occasionally the left knee will buckle. Usually after a long day when the fatigue sets in.
@blathy2
Жыл бұрын
Had a full tear on my right quad tendon from running down stairs. I'm 57 yrs old. Going into 6 weeks in a brace. You sure loose your strength in the muscle and not to mention definition. I have some range of motion in the knee but not pushing it. I don't want to much tension on the tendon while healing. 2 more weeks for an assessment and hoping to loose the brace.
@hairyelder5019
Жыл бұрын
@@blathy2 So the doctor didn’t recommend an MRI/surgery right away? I’d recommend stem cell injections if you can swing it.
very helpful video, thank you so much, excellent
I'm pretty sure I have a front quad tendon partial tear, It gives me pain at certain bending motions just above the knee, but yet with gradual heavier weights, and warming it up, I can load it quite heavy and do front lunges with dumbels and it feels great. with no soreness at all later,.
@shh711
2 жыл бұрын
How the rehab been u struggling at all still?
@thank_you2933
Жыл бұрын
I have pain on top of my knee, what is good?
What should one do with a partial tear?
Thanks
Can you have surgery on a partially torn quad tendon injury that is over 10 years old?
thanks sir alwasys Can I get lecture about ilium bone fx
Thanks so much for uploading this video. My elderly mother suffered a fall and I think the quad muscles or tendons were injured. I hope I am wrong, so she doesn't have to undergo surgery. :(
Thank u
in april i fell, rupturing my quad tendon, i had surgery, but from day 2 i knew something was wrong, it was inflamed, kept getting worse, pain was extreme, and they messed up my checkup/staple removal date, and made it 22 days post op, but in that time i went to my gp doctor, who said the surgeons dont like us interfering, and you dont have a fever, the leg was discharging fluid, this would of been around day 14, i arrived at hospital, the surgeon said why werent you here 10 days ago, i said the appointment was for today, he immediately said that should be healed, put a pico dressing and, booked me in for a debridement next day..., i got surgery two days later, leg was not inflamed like before, and pain was a 1/10 but its taken 7 weeks, and 5 plaster casts because the wound so large and wide, i had staph aureus infection in it, so they took out the sutures and whatever else they used to repair it, went back in and used poly tape, yesterday i finally got a brace, the leg is a mess, the scar, muscle loss, tightness, indentations, and it is not very flexible at all, this is almost 12 weeks post injury, just letting people know what can happen, and do not listen to 'the experts' its fine, all i heard, will i get rom back, ive tried bending it about 10 degrees and sharp pains in my knee, the tendon above the knee, is so tight, from obviously being cut twice
@tmc4609
Жыл бұрын
Thank you for writing this.
@thank_you2933
Жыл бұрын
How are you know? I don't exactly what I have, but I am feeling better. It's been 10 months, I can walk with some pain. Experts told to get injections but I refused. I will heal naturally with help of God 🙏
@WhySoSerious551
Жыл бұрын
@@thank_you2933 I'm stuck at 95-100 degrees
I so wish you were my doctor.
When the tendon of knee is rupture going to use electroacupuncrure?
Just dx with complete rupture. Had knee replacement and patellar revision
I have a partial rupture, but surgery is out of the question because I can’t afford to be able to work any length of time. It seems I can function. I can walk, but I wouldn’t be able to run.
Total rupture of quad tendon and Medialis and Lateralis inside and outside tendons also. 6 weeks out of surgery and frustrated that I'm not being asked to do more. I am supposed to keep it locked but i can do stairs with brace unlocked but they still want me to keep it straight for weeks. Very frustrating to go so slow when I feel I can do much more safely.
Thank you lt helped me . My bicep tendon is partially torn and l'm trying to understand what is going on so ok.
@Metalpazallteway
2 жыл бұрын
Did you get surgical repair for the injury or it healed with therapy?
Hy sir .my pteala is breeck dont work .
I’m recovering from one. Hope I can jump rope again. That was my favorite cardio.
I’m 18 and I’ve been exercising for 1 month now and I believe I have Quadricep rupture to some extent. For me, everyday is leg day and I work my legs everyday for an hour my exercises consist a lot of squares and lunges, it’s gotten pretty bad that I get strong aching from the top of my knee
Tripple H brought me here!
I'm in pain right now....unable to bend or raise leg...😰
Hit my knee on an edge a few days ago, now I can't extend it without lifting it, it's too painful. If I'm laying on my back and my knee is bent, I can't straighten it without assistance. Drs are too expensive, guess I'm just handicapped now?
@s133p3r0
Жыл бұрын
@Van Wolfen Healed up, forgot about it. Now my lower back is bad, very hard to get in and out of bed. Sucks. I'm only 37
I did both legs and am 17 weeks post surgery. Guess I am setting a GP appointment to look for underlying disease
❤
Hi Sir. U r explanation and dealing the problem is very efficient .I am a patient suffering with knee stiffness. Due to accident femur ,patella, tibia are fractured.please guide me in medical treatment kindly provide u r e-mail. I will put x-ray images
Seme problam
This didn’t make sense lol
Thanks