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Quadriceps tendon rupture; Other names: Quadriceps tendon tear: An x-ray demonstrating quadriceps tendon rupture. Note the abnormal angle of the patella and soft-tissue swelling marked by the arrow. Specialty: Orthopedic
A tendon connects muscle to bone, while a ligament connects bone to bone. [1] Injuries are common to this tendon, with tears, either partial or complete, being the most common. If the quadriceps tendon is completely torn, surgery will be required to regain function of the knee. [2] Without the quadriceps tendon, the knee cannot extend.
Physical therapy is often prescribed as a nonsurgical treatment of a tear, in which functional rehabilitation and range of motion exercises that focus primarily on the hips, gluteal muscles, and quadriceps are used to strengthen the muscles surrounding the knee. During the recovery phase, heat and ice are often applied as pain managers before ...
Side-to-side movements of the knee should be avoided. The patient is allowed to bear weight as tolerated and should perform quadriceps strengthening exercises along with range of motion exercises. The typical return-to-play time frame for most athletes with a grade III medial knee injury undergoing a rehabilitation program is 5 to 7 weeks.
The patella is a floating sesamoid bone held in place by the quadriceps muscle tendon and patellar tendon ligament. Exercises should strengthen quadriceps muscles such as rectus femoris, vastus intermedius, and vastus lateralis. However, tight and strong lateral quadriceps can be an underlying cause of patellar dislocation.
This surgery is complex and typically costs more than the extracapsular repair. [7] [11] Tibial tuberosity advancement This surgery aims at advancing the tibial tuberosity forward in order to modify the pull of the quadriceps muscle group, which in turn helps reduce tibial thrust and ultimately stabilizes the knee.
The torn ligament can either be removed from the knee (most common), or preserved (where the graft is passed inside the preserved ruptured native ligament) before reconstruction through an arthroscopic procedure. ACL repair is also a surgical option. This involves repairing the ACL by re-attaching it, instead of performing a reconstruction.
Arthroscopic lavage is a "cleaning up" procedure of the knee joint. This short-term solution is not considered as an articular cartilage repair procedure but rather a palliative treatment to reduce pain, mechanical restriction and inflammation. Lavage focuses on removing degenerative articular cartilage flaps and fibrous tissue.