Simultaneous Bilateral Quadriceps Tendon Rupture in a Patient with Diffuse Idiopathic SkeletalHyperostosis after Minimal Trauma: Eight-Year Follow-Up.


Sıvacıoğlu S., Salduz A. , Öztürk U., Bayram S. , Birişik F.

Case Reports in Orthopedics, vol.2018, pp.1-6, 2018 (Journal Indexed in ESCI)

  • Publication Type: Article / Case Report
  • Volume: 2018
  • Publication Date: 2018
  • Doi Number: 10.1155/2018/5047138
  • Title of Journal : Case Reports in Orthopedics
  • Page Numbers: pp.1-6

Abstract

Introduction: The purpose of this report was to describe a very rare case of simultaneous bilateral quadriceps tendon rupture seen in a patient who was diagnosed as having diffuse idiopathic skeletal hyperostosis.

Case presentation: A man aged 64 years presented to the emergency department with bilateral quadriceps tendon rupture. Surgical repair was performed with suture anchors and a stainless steel cable. His legs were immobilized in casts for six weeks. After removal of the casts, physiotherapy was started. Four months after surgery, he was able to walk with 0°-120° range of motion and active extension. He was followed up for 8 years without rerupture or other complications.

Conclusion: Bilateral rupture of the quadriceps tendon is a rare condition and generally related to metabolic disorders. Diffuse idiopathic skeletal hyperostosis is a metabolic disorder that causes bilateral quadriceps tendon rupture, and it accounted for the differential diagnosis of the underlying condition.