Patellar tendon rupture - complete

Case contributed by Dr Ian Bickle

Presentation

Diabetic patient and aemodialysis patient. Missed step at home. Knee injury - unable to walk.

Patient Data

Age: 66
Gender: Male

Complete tear of the patella tendon, which is retracted forming a 'ball'of tissue beneath the inferior pole of the patella.

Patella alta.  Joint effusion.

Small amount of high signal in the quadriceps tendon close to the patella insertion, but no frank tear.

 

Case Discussion

Patellar tendon rupture - this was clinically apparent.  The MRI served as a luxury and excluded associated injuries.

Aside from trauma, diabetes and haemodiaysis are both independent risk factors for a patella tendon injury.

Surgery was performed confirming the gross MRI findings.

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Case information

rID: 39634
Case created: 13th Sep 2015
Last edited: 5th Dec 2016
Inclusion in quiz mode: Included

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