Abstract
A 37-year-old healthy Chinese man with traumatic bilateral concurrent patellar tendon rupture is presented. This is the 19th case reported in the literature. Sports-related activities are the most common cause of injury. The mechanism of rupture is forceful contraction of quadriceps muscle on a partially flexed knee. Previous surgical treatments have potential problems. Soft tissue anchors were used for restoration of the patellar continuity. Improved surgical techniques and excellent functional results are expected.
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Babini SM, Arturi A, Marcos JC, Babini JC, Iniguez AM, Morteo OG (1988) Laxity and rupture of the patellar tendon in systemic lupus erythematosus. Association with secondary hyperparathyroidism. J Rheumatol 15:1162–1165
Babini SM, Jones MW, Choudhury RR, Smith E (1995) Bilateral patellar tendon rupture secondary to repeated local steroid injections. J Accid Emerg Med 12:300–301
Barber FA, Herbert MA, Click JN (1995) The ultimate strength of suture anchores. Arthroscopy 11:21–28
Barber FA, Herbert MA, Click JN (1996) Suture anchor strength revisited. Arthroscopy 12:32–38
Burkhart SS, Johnson TC, Wirth MA, Athanasiou KA (1997) Cyclic loading of transosseous rotator cuff repairs: tension overload as a possible cause of failure. Arthroscopy 13:172–176
Carson WG, James SL, Larson RL, Singer KM, Winternitz WW (1984) Patellofemoral disorders: physical and radiographic evaluation. I. Radiographic examination. Clin Orthop 185:178–186
Chan CH, Niu CC, Yang WE, Chan WJ, Shih CH (1999) Spontaneous bilateral patellar tendon rupture in primary hyperthyroidism. Orthopedics 22:1177–1179
Chandler FA (1953) Repair of ruptured patellar tendon with airplane control cable. JAMA 153:1093
Clark SC, Jones MW, Choudhury RR, Smith E (1995) Bilateral patellar tendon rupture secondary to repeated steroid injections. J Accid Emerg Med 12:300–301
Cooney LM, Aversa JM, Newman JH (1890) Insidious bilateral infrapatellar tendon rupture in a patient with systemic lupus erythematosus. Ann Rheum Dis 39:592–595
Davidsson L, Salo M (1969) Pathogenesis of subcutaneous tendon ruptures. Acta Chir Scand 135:209–212
Dejong CH, van de Luytgaarden WG, Vroemen JP (1991) Bilateral simultaneous rupture of the patellar tendon. Case report and review of the literature. Arch Orthop Trauma Surg 110:222–226
Donati RB, Cox S, Echo BS, Powell CE (1986) Bilateral simultaneous patellar tendon rupture in a female collegiate gymnast. A case report. Am J Sports Med 14:237–239
Fowler A, Mitchell GP (1950) Bilateral rupture of the extensor tendons of the knee. Lancet I:205–206
Giblin P, Small A, Nichol R (1982) Bilateral rupture of the ligamentum patellae: two case reports and a review of the literature. Aust N Z J Surg 52:145–148
Glabbeek FV, Groof ED, Boghemans J (1992) Bilateral patellar tendon rupture: case report and literature review. J Trauma 33:790–792
Goodrich A, Diffore RJ, Tippens JK (1983) Bilateral simultaneous rupture of the infrapatellar tendon. Orthopedics 6:1472–1474
Greenbaum B, Perry J, Lee J (1994) Bilateral spontaneous patellar tendon rupture in the absence of concomitant systemic disease or steroid use. Orthop Rev 23:890–893
Groβ G, Reck T, Kessler C, Herzog T, Hoffmann-Preiss K (1992) Bilateral rupture of the patellar tendon without predisposing systemic disease. Arch Orthop Trauma Surg 112:42–44
Hannon RJ (1990) Bilateral patellar tendon rupture. Ulster Med J 59:82–83
Huberti HH, Hayes WC, Stone JL, et al (1984) Force ratios in the quadriceps tendon and ligamentum patella. J Orthop Res 2:49–54
Hughes GN, Harder JA (1979) Bilateral patellar tendon rupture associated with chronic glomerulonephritis. Can J Surg 22:389
Hungerford DS, Barry M (1979) Biomechanism of the patellofemoral joint. Clin Orthop 147:9–15
Insall J, Salvati E (1971) Patella position in the normal knee joint. Radiology 101:101
Kalantar-Zadeh K, Singh K, Kleiner M, Jarrett MP, Luft FC (1997) Nontraumatic bilateral rupture of patellar tendons in a diabetic dialysis patient with secondary hyperparathyroidism. Nephrol Dial Transplant 12:1988–1990
Kamali M (1979) Bilateral traumatic rupture of the infrapatellar tendon. Clin Orthop 142:131–134
Kannus P, Jozsa L (1991) Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients. J Bone Joint Surg Am 73:1507–1525
Kircun R, Kricun ME, Arangio GA, Salzman GS, Berman AT (1980) Patellar tendon rupture with underlying systemic diseases. AJR Am J Roentgenol 135:803–807
Kohn P, Wirth CJ (1988) Doppelseitige intraligamentäre traumatische Ruptur beider Kniescheibensehnen—ein Fallbericht. Akt Traumatol 18:271–274
Krackow KA, Thomas SC, Jones LC (1986) A new stitch for ligament-tendon fixation. Brief note. J Bone Joint Surg Am 68:764–766
Kuo RS, Sonnabend DH (1993) Simultaneous rupture of the patellar tendons bilaterally: case report and review of the literature. J Trauma 34:458–460
Labelle H, Laurine CA (1976) Radiological investigation of normal and abnormal patellae. J Bone Joint Surg Br 57:530
Lugger L (1974) Traumatische subkutane simultane Ruptur beider Kniescheibenbänder. Zentralbl Chir 99:850–852
Margles SW, Lewis MM (1978) Bilateral spontaneous concurrent rupture of the patellar tendon without apparent associated systemic disease: a case report. Clin Orthop 136:186–187
Martin JR, Wilson CL, Mathews WH (1958) Bilateral rupture of the ligamenta patellae in a case of disseminated lupus erythematosus. Arthritis Rheum 6:548–552
McLaughlin HL, Francis KC (1956) Operative repair of injuries to the quadriceps extensor mechanism. Am J Surg 91:651–653
McMaster PE (1933) Tendon and muscle rupture. Clinical and experimental studies on the causes and location of subcutaneous ruptures. J Bone Joint Surg Am 15:705
Morgan J, McCarty DJ (1974) Tendon ruptures in patients with systemic lupus erythematosus treated with corticosteroids. Arthritis Rheum 17:1033–1036
Norlin R (1994) Use of Mitek anchoring for Bankart repair: a comparative, randomized prospective study with traditional bone sutures. J Shoulder Elbow Surg 3:381–385
Olen RN, Chmell S (1986) Bilateral patellar ligament rupture. A case report. Orthopedics 9:1665–1667
Ong BC, Sherman O (2000) Acute patellar tendon rupture: a new surgical technique. Arthroscopy 16:869–870
Peiro A, Ferrandis R, Garcia l, Alcazar E (1975) Simultaneous and spontaneous bilateral rupture of the patellar tendon in rheumatoid arthritis. A case report. Acta Orthop Scand 46:700–703
Podesta L, Sherman MF, Bonamo JR (1991) Bilateral simultaneous rupture of the infrapatellar tendon in a recreational athlete. A case report. Am J Sports Med 19:325–327
Rose PS, Frassica FJ (2001) Atraumatic bilateral patellar tendon rupture. A case report and review of the literature. J Bone Joint Surg Am 83:1382–1386
Rosenberg JM, Whitaker JH (1991) Bilateral infrapatellar tendon rupture in a patient with jumper's knee. Am J Sports Med 19:94–95
Sherlock DA, Hughes A (1988) Bilateral spontaneous concurrent rupture of the patellar tendon in the absence of associated local or systemic disease. Clin Orthop 237:179–183
Sochart DH, Shravat BP (1994) Bilateral patellar tendon disruption—a professional predisposition? J Accid Emerg Med 11:255–256
Sullivan RL (1986) Traumatic bilateral patellar tendon rupture with chronic renal disease. Wis Med J 85:12–13
Swift RI, Hershman MJ, Wood CB (1990) Bilateral spontaneous, concurrent patellar tendon rupture. Br J Clin Pract 44:730–731
Webb LX, Toby EB (1986) Bilateral rupture of the patella tendon in an otherwise healthy male patient following minor trauma. J Trauma 26:1045–1048
Zernicke RF, Garhammer J, Jobe FW (1977) Human patellar-tendon rupture. J Bone Joint Surg Am 59:179–183
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Ho, HM., Lee, WK.E. Traumatic bilateral concurrent patellar tendon rupture: an alterative fixation method. Knee Surg Sports Traumatol Arthrosc 11, 105–111 (2003). https://doi.org/10.1007/s00167-002-0332-9
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DOI: https://doi.org/10.1007/s00167-002-0332-9