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Quadriceps Tears and Tendon Ruptures

  • Ann H. LichtensteinEmail author
  • Jeffery Fine
Chapter

Abstract

A quadriceps tendon tear or rupture is a break in the tendon connecting the quadriceps muscle to the patella. This injury frequently occurs in males over 40 years old, patients with systemic inflammatory conditions, and athletes who frequently jump. Partial tears may be difficult to diagnose on physical examination, and ultrasound or MRI may be diagnostic. Acute knee pain, difficulty with knee extension, and a low riding patella characterize full thickness tears, which can be visualized on lateral X-rays. Incomplete tears may be treated conservatively, while full thickness tears and incomplete tears with functional deficits require surgical intervention.

Keywords

Quadriceps tear Quadriceps rupture Knee pain Tendinosis Patella baja Knee extension abnormality Knee surgery Ligament pathology 

References

  1. 1.
    Ilan D, Tejwani N, Keschner M, Leibman. M. Quadriceps tendon rupture. J Am Acad Orthop Surg. 2003;11:192–200.CrossRefGoogle Scholar
  2. 2.
    Ciriello V, Gudipati S, Tosounidis T, Soucacos PN, Giannoudis PV. Clinical outcomes after repair of quadriceps tendon rupture: a systematic review. Injury. 2012; Nov;43(11):1931–8.CrossRefGoogle Scholar
  3. 3.
    Lee D, Stinner D, Mir. H. Quadriceps and patellar tendon ruptures. J Knee Surg. 2013;26(5):301–8.CrossRefGoogle Scholar
  4. 4.
    Stanish WD, Yepes H, Al-Hibshi A. Tendon disorders. In: Johnson DH, Pedowitz RA, editors. Practical orthopaedic sports medicine and arthroscopy. Philadelphia: Lippincott Williams and Wilkins; 2006. p. 729–39.Google Scholar
  5. 5.
    McNeilan R, Flanigan D. Chapter 10: quadriceps tendon ruptures. In: Kaeding CC, Borchers JR, editors. Hamstring and quadriceps injuries in athletes: a clinical guide. New York: Springer; 2014. p. 103–19.Google Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Icahn School of Medicine at Mount Sinai, Department of Rehabilitation MedicineNew YorkUSA
  2. 2.Elmhurst Hospital CenterDepartment of Rehabilitation MedicineElmhurstUSA

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