Simultaneous Bilateral Knee Extensor Mechanism Injury in a Young Male: A Clinical Diagnosis and Literature Review.

Bulelwa Andiswa Klaas, Collen Sandile Nkosi
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Abstract

Introduction: Simultaneous quadriceps tendons with contralateral patellar tendon ruptures are extremely uncommon. We present a rare case of a male with bilateral simultaneous knee extensor mechanism injuries following a fall who is known to have a systemic end-stage medical disease.

Case report: A 36-year-old African male is known to have end-stage renal disease following bilateral congenital kidney disease. He receives hemodialysis 3 times a week at our academic hospital renal unit. He presented at our casualty with bilateral knee pains, knee swelling, and an inability to mobilize both legs. He had an inability to extend his knee, a palpable gap along the patella tendon on the left, and a palpable gap in the right quadriceps tendon. We performed plain radiographs to confirm the clinical diagnosis.

Conclusion: We experienced a simultaneous rupture of the quadriceps tendon with the contralateral patellar tendon in a 36-year-old with chronic renal failure on hemodialysis. Surgical repair was performed earlier, and he achieved good functional outcomes.

同时双侧膝关节伸肌机制损伤的年轻男性:临床诊断和文献复习。
简介:股四头肌肌腱同时与对侧髌骨肌腱断裂是非常罕见的。我们提出一个罕见的情况下,男性与双侧同时膝关节伸肌机制损伤后跌倒,谁是已知的系统性终末期医学疾病。病例报告:一名36岁的非洲男性在双侧先天性肾脏疾病后被确诊为终末期肾脏疾病。他每周在我院肾科接受3次血液透析。他出现在我们的伤员双侧膝盖疼痛,膝盖肿胀,和无法活动双腿。他的膝盖无法伸展,左侧髌骨肌腱有明显的间隙,右侧股四头肌肌腱也有明显的间隙。我们行x线平片以证实临床诊断。结论:我们经历了一个36岁的血液透析慢性肾衰竭患者的股四头肌肌腱与对侧髌骨肌腱同时断裂。手术修复较早,他获得了良好的功能预后。
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