Desinserción espontánea y bilateral del tendón cuadricipital.
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Feb 19, 2016
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Abstract
La ruptura espontánea bilateral del tendón cuadricipital es una patología infrecuente (<5% de todas las rupturas cuadricipitales). El mayor número de casos reportados, se asocia a insuficiencia renal crónica, obesidad, diabetes, lupus eritematoso sistémico, vasculitis e hiperparatiroidismo. Nuestro paciente, de 41 años de edad presenta insuficiencia renal crónica en tratamiento con hemodiálisis desde hace 8 años, asociada a hiperparatiroidismo secundario. Ingresa a nuestro servicio por incapacidad a la extensión de ambos miembros inferiores, tras incorporarse desde una silla, destacando en el examen físico una depresión palpable suprarrotuliana. Se realizan radiografías de ambas rodillas frente y perfil, ecografía de zona suprarrotuliana y resonancia magnética nuclear. Al constatar lesión bilateral a nivel del tendón cuadricipital, se programa su reparación quirúrgica, la cual se realizó por cuestiones ajenas a nuestro servicio a los 30 días del diagnóstico. Se intervinieron de manera simultánea ambas rodillas utilizando como técnica, tunelización patelar y empleando suturas no reabsorbible. Se obtuvo un resultado excelente en ambos miembros inferiores según el Score Knee Society (S.N.S.).
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Zordan, J., Bacigalupo, F., Bustamante, H., & Candidori, R. (2016). Desinserción espontánea y bilateral del tendón cuadricipital. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 81(1), 57-63. https://doi.org/10.15417/387
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Case Presentations
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References
1. Kim YH, Shafi M, Lee YS, Kim JY, Kim WY, Han CW. Spontaneous and simultaneous rupture of both quadriceps tendons in a patient with chronic renal failure. A case studied by MRI both preoperatively and postoperatively. Knee Surg Sports Traumatol Arthrosc. 2006;14:55-9.
2. Lombardi LJ, Cleri DJ, Epstein E. Bilateral spontaneous quadriceps tendon rupture in a patient with renal failure. Orthopedics. 1995;18:187-91.
3. Matokovic D, Matijasevic B, Petric P, Crnkovic T, Skorvaga S. A case report of spontaneous concurrent bilateral rupture of the quadriceps tendons in a patient with chronic renal failure. Ther Apher Dial. 2010;14:104-7.
4. Shah MK. Simultaneous bilateral cuadriceps tendon rupture in renal patients. Clin Nephrol. 2002;58:118 21.
5. Azar, F. M. (2010). Trastornos Traumáticos. En J. H. S. Terry Canale, CAMBELL CIRUGIA ORTOPEDICA (págs. 2766-2769). Barcelona, España: Elsevier.
6. O’Shea K, Kenny P, Donovan J, et al. Outcomes following quadriceps tendon ruptures. Injury 2002; 33: 257–260.
7. Steiner CA, Palmer LH. Simultaneous bilateral rupture of the quadriceps tendon. Am J Surg 1949; 78:752–755
8. Preston FS, Adicoff A. Hyperparathyroidism with avulsion of three major tendons: report of a case. N Engl J Med 1962; 266: 968–971
9. Bikkina RS, Chaljub G, Singh H, Allen SD. Magnetic resonance imaging
of simultaneous bilateral quadriceps tendon rupture in a weightlifter: case report. J Trauma 2002; 52:582–584
10. Cirincione RJ, Baker BE. Tendon ruptures with secondary hyperparathyroidism: a case report. J Bone Joint Surg Am 1975; 57:852–853
11. Werner JA, Schein AJ. Simultaneous bilateral rupture of the patellar tendon and quadriceps expansions in systemic lupus erythematosus: a case report. J Bone Joint Surg Am 1974; 56:823– 824
12. Bhole R, Johnson JC. Bilateral simultaneous spontaneous rupture of
quadriceps tendons in a diabetic patient. South Med J 1985; 78:486
13. Levy M, Seelenfreund M, Maor P, Fried A, Lurie M. Bilateral
spontaneous and simultaneous rupture of the quadriceps tendons in gout. J
Bone Joint Surg Br 1971. 53:510–513
14. Kelly BM, Rao N, Louis SS, Kostes BT, Smith RM. Bilateral, simultaneous, spontaneous rupture of quadriceps tendons without trauma in an obese patient: a case report. Archives of Physical Medicine and Rehabilitation 2001; 82(3):415-8.
15. Kim TW, Kamath AF and Israelite CL. Suture anchor repair of quadriceps tendon rupture after total knee arthroplasty. J Arthroplasty 2011; 26: 817–820.
16. Yepes H, Tang M, Morris SF, and Stanish WD, Relationship Between Hypovascular Zones and Patterns of Ruptures of the Quadriceps Tendon. J Bone Joint Surg Am 2008; . 90:2135-41
17. Nance EP Jr, Kaye JJ. Injuries of the quadriceps mechanism. Radiology 1982;
142:301–307
18. Bikkina RS, Chaljub G, Singh H, Allen SD. Magnetic resonance imaging of simultaneous bilateral quadriceps tendon rupture in a weightlifter: case report. J Trauma 2002; 52:582–584
19. Calvo E, Ferrer A, Robledo AG, Alvarez L, Castillo F, Vallejo C (1997) Bilateral simultaneous spontaneous quadriceps tendons rupture. A case report studied by magnetic resonance imaging. Clin Imaging 21:73–76
20. Trobisch PD, Bauman M, Weise K, et al. Histologic analysis of ruptured quadriceps tendons. Knee Surg Sports Traumatol Arthrosc 2010; 18: 85–88.
21. Mao-Feng Gao, Hui-Lin Yang andWei-Dong Shi. Simultaneous bilateral
quadriceps tendon rupture in a patient with hyperparathyroidism undergoing long-term haemodialysis: A case report
and literature review. Journal of International Medical Research
41(4) 1378–1383 (2013)
22.Ilan DI, Tejwani N, Keschner M, Leibman M, MD. Rotura del Tendón Cuadricipital. J Am Acad Orthop Surg (Ed Esp) 2003;2:236-244
23. Miskew DB, Pearson RL, Pankovich AM: Mersilene strip suture in repair of disruptions of the quadriceps tendons and patelar tendons. J Trauma 1980;20: 867-872
24. Levy M, Goldtein J, Rosner M: A method of repair for quadriceps tendon or patelar ligament (tendon) ruptures without cast immovilization: Preliminary report. Clin Orthop 1987 218: 297-301
25. Scuderi C: Ruptures of the quadriceps tendon: Study of twenty tendon ruptures. Am J Surg 1958;95:626-235
26. O’Shea K, Kenny P, Donovan J, Condon F, McElwain JP. Outcomes following quadriceps tendon ruptures. Injury 2002; 33:257-60.
27. Ryuzaki M, Konishi K, Kasuga A, et al. Spontaneous rupture of the quadriceps tendon in patients on maintenance hemodialysis – report of three cases with clinicopathological observations. Clin Nephrol 1989; 32:144-8.
28. Kälebo P, Allenmark C, Peterson L, Swärd L. Diagnostic value of ultrasonography in partial ruptures of the Achilles tendon. Am J Sports Med 1992; 20:378-81.
29. Rivarola Etcheto H; Collazo, C; Palanconi, M; Raimondi, Ns; Codesido, M; Piazza, D; Autorino, C. Ruptura del tendon rotuliano en deportistas: tratamiento con anclajes oseos. Rev. Argent. Artroscopia. 16(2):135-142, sept. 2009
2. Lombardi LJ, Cleri DJ, Epstein E. Bilateral spontaneous quadriceps tendon rupture in a patient with renal failure. Orthopedics. 1995;18:187-91.
3. Matokovic D, Matijasevic B, Petric P, Crnkovic T, Skorvaga S. A case report of spontaneous concurrent bilateral rupture of the quadriceps tendons in a patient with chronic renal failure. Ther Apher Dial. 2010;14:104-7.
4. Shah MK. Simultaneous bilateral cuadriceps tendon rupture in renal patients. Clin Nephrol. 2002;58:118 21.
5. Azar, F. M. (2010). Trastornos Traumáticos. En J. H. S. Terry Canale, CAMBELL CIRUGIA ORTOPEDICA (págs. 2766-2769). Barcelona, España: Elsevier.
6. O’Shea K, Kenny P, Donovan J, et al. Outcomes following quadriceps tendon ruptures. Injury 2002; 33: 257–260.
7. Steiner CA, Palmer LH. Simultaneous bilateral rupture of the quadriceps tendon. Am J Surg 1949; 78:752–755
8. Preston FS, Adicoff A. Hyperparathyroidism with avulsion of three major tendons: report of a case. N Engl J Med 1962; 266: 968–971
9. Bikkina RS, Chaljub G, Singh H, Allen SD. Magnetic resonance imaging
of simultaneous bilateral quadriceps tendon rupture in a weightlifter: case report. J Trauma 2002; 52:582–584
10. Cirincione RJ, Baker BE. Tendon ruptures with secondary hyperparathyroidism: a case report. J Bone Joint Surg Am 1975; 57:852–853
11. Werner JA, Schein AJ. Simultaneous bilateral rupture of the patellar tendon and quadriceps expansions in systemic lupus erythematosus: a case report. J Bone Joint Surg Am 1974; 56:823– 824
12. Bhole R, Johnson JC. Bilateral simultaneous spontaneous rupture of
quadriceps tendons in a diabetic patient. South Med J 1985; 78:486
13. Levy M, Seelenfreund M, Maor P, Fried A, Lurie M. Bilateral
spontaneous and simultaneous rupture of the quadriceps tendons in gout. J
Bone Joint Surg Br 1971. 53:510–513
14. Kelly BM, Rao N, Louis SS, Kostes BT, Smith RM. Bilateral, simultaneous, spontaneous rupture of quadriceps tendons without trauma in an obese patient: a case report. Archives of Physical Medicine and Rehabilitation 2001; 82(3):415-8.
15. Kim TW, Kamath AF and Israelite CL. Suture anchor repair of quadriceps tendon rupture after total knee arthroplasty. J Arthroplasty 2011; 26: 817–820.
16. Yepes H, Tang M, Morris SF, and Stanish WD, Relationship Between Hypovascular Zones and Patterns of Ruptures of the Quadriceps Tendon. J Bone Joint Surg Am 2008; . 90:2135-41
17. Nance EP Jr, Kaye JJ. Injuries of the quadriceps mechanism. Radiology 1982;
142:301–307
18. Bikkina RS, Chaljub G, Singh H, Allen SD. Magnetic resonance imaging of simultaneous bilateral quadriceps tendon rupture in a weightlifter: case report. J Trauma 2002; 52:582–584
19. Calvo E, Ferrer A, Robledo AG, Alvarez L, Castillo F, Vallejo C (1997) Bilateral simultaneous spontaneous quadriceps tendons rupture. A case report studied by magnetic resonance imaging. Clin Imaging 21:73–76
20. Trobisch PD, Bauman M, Weise K, et al. Histologic analysis of ruptured quadriceps tendons. Knee Surg Sports Traumatol Arthrosc 2010; 18: 85–88.
21. Mao-Feng Gao, Hui-Lin Yang andWei-Dong Shi. Simultaneous bilateral
quadriceps tendon rupture in a patient with hyperparathyroidism undergoing long-term haemodialysis: A case report
and literature review. Journal of International Medical Research
41(4) 1378–1383 (2013)
22.Ilan DI, Tejwani N, Keschner M, Leibman M, MD. Rotura del Tendón Cuadricipital. J Am Acad Orthop Surg (Ed Esp) 2003;2:236-244
23. Miskew DB, Pearson RL, Pankovich AM: Mersilene strip suture in repair of disruptions of the quadriceps tendons and patelar tendons. J Trauma 1980;20: 867-872
24. Levy M, Goldtein J, Rosner M: A method of repair for quadriceps tendon or patelar ligament (tendon) ruptures without cast immovilization: Preliminary report. Clin Orthop 1987 218: 297-301
25. Scuderi C: Ruptures of the quadriceps tendon: Study of twenty tendon ruptures. Am J Surg 1958;95:626-235
26. O’Shea K, Kenny P, Donovan J, Condon F, McElwain JP. Outcomes following quadriceps tendon ruptures. Injury 2002; 33:257-60.
27. Ryuzaki M, Konishi K, Kasuga A, et al. Spontaneous rupture of the quadriceps tendon in patients on maintenance hemodialysis – report of three cases with clinicopathological observations. Clin Nephrol 1989; 32:144-8.
28. Kälebo P, Allenmark C, Peterson L, Swärd L. Diagnostic value of ultrasonography in partial ruptures of the Achilles tendon. Am J Sports Med 1992; 20:378-81.
29. Rivarola Etcheto H; Collazo, C; Palanconi, M; Raimondi, Ns; Codesido, M; Piazza, D; Autorino, C. Ruptura del tendon rotuliano en deportistas: tratamiento con anclajes oseos. Rev. Argent. Artroscopia. 16(2):135-142, sept. 2009