Patellar tendon rupture - Revision history

Rossdonaldson1: /* Background */

2020-05-21T21:43:01Z

Background

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	==Background==		==Background==
			[[File:Knee diagram2.png\|thumb\|Anatomy of anterolateral aspect of right knee.]]
	*Occurs via forceful contraction of quadriceps muscle or falling on flexed knee		*Occurs via forceful contraction of quadriceps muscle or falling on flexed knee
	*Typically occur 2cm from insertion on patella		*Typically occur 2cm from insertion on patella

2019-05-10T01:45:58Z

References

← Revisión anterior		Revisión del 01:45 10 may 2019
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	==References==		==References==
	<references/>		<references/>
	*Uptodate
	*Wheeless' Textbook of Orthopaedics		*Wheeless' Textbook of Orthopaedics

	[[Category:Orthopedics]]		[[Category:Orthopedics]]
			[[Category:Sports Medicine]]

2018-01-10T20:24:51Z

Evaluation

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	==Evaluation==		==Evaluation==
			[[File:Patellar_Tendon_Rupture.gif\|thumbnail\|Patellar tendon rupture<ref>http://www.thepocusatlas.com/musculoskeletal/</ref>]]
	*[[Ultrasound: Tendons\|Ultrasound]]		*[[Ultrasound: Tendons\|Ultrasound]]
	**Separation of the tendon can be visualized		**Separation of the tendon can be visualized

2017-01-05T06:10:57Z

← Revisión anterior		Revisión del 06:10 5 ene 2017
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	*Occurs via forceful contraction of quadriceps muscle or falling on flexed knee		*Occurs via forceful contraction of quadriceps muscle or falling on flexed knee
	*Typically occur 2cm from insertion on patella		*Typically occur 2cm from insertion on patella

	~~{{Patellar vs Quadriceps tendon rupture}}~~

	==Clinical Features==		==Clinical Features==
	*Sudden "pop" or tearing		*Sudden "pop" or tearing
	*Diffuse swelling		*Diffuse swelling
	*Defect may be palpable ~~above or~~ below the patella		*Defect may be palpable below the patella
	*Partial tears lead to difficulty extending the knee		*Partial tears lead to difficulty extending the knee
	*Complete tears lead to absent straight leg raise while supine or extension of the knee again		*Complete tears lead to absent straight leg raise while supine or extension of the knee again
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	**Separation of the tendon can be visualized		**Separation of the tendon can be visualized
	*X-ray		*X-ray
	**Patella alta (or high-riding patella) ~~is consistent with patella tendon rupture~~		**Patella alta (high-riding patella)
	**Patella baja/infera (or low-riding patella) is consistent with quadriceps tendon rupture
			{{Patellar vs Quadriceps tendon rupture}}

	==Management==		==Management==
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	==Disposition==		==Disposition==
			*Outpatient

	==See Also==		==See Also==

2017-01-05T06:07:59Z

2017-01-05T06:05:27Z

Background

← Revisión anterior		Revisión del 06:05 5 ene 2017
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	==Background==		==Background==
	*Occurs via forceful contraction of quadriceps muscle or falling on flexed knee		*Occurs via forceful contraction of quadriceps muscle or falling on flexed knee
	*Quadriceps rupture proximal to the patella while patellar tendon ruptures are distal
	*Typically occur 2cm from insertion on patella		*Typically occur 2cm from insertion on patella
	*Patellar tendon rupture
	**Patients <40yr with history of tendinitis or steroid injections
	*Quadriceps tendon rupture
	**Patients >40yr

	{{Patellar vs Quadriceps tendon rupture}}		{{Patellar vs Quadriceps tendon rupture}}

2017-01-05T06:04:47Z

Background

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	**Patients >40yr		**Patients >40yr

	{\| {~~{table}}~~		{{Patellar vs Quadriceps tendon rupture}}
	~~\| align="center" style="background:#f0f0f0;"\|'''Finding '''~~
	~~\| align="center" style="background:#f0f0f0;"\|'''~~Patellar ~~tendon rupture'''~~
	~~\| align="center" style="background:#f0f0f0;"\|'''~~Quadriceps tendon rupture~~'''~~
	\|-
	~~\| Location\|\|Distal to patella\|\|Proximal to patella~~
	\|-
	~~\| Typical group\|\|Patients <40yr with history of tendinitis or steroid injections\|\|Patients >40yr~~
	\|-
	~~\| X-ray\|\|Patella alta (high-riding patella)\|\|Patella baja/infera (low-riding patella)~~
	\|}

	==Clinical Features==		==Clinical Features==

2017-01-05T06:03:51Z

Background

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 *Quadriceps tendon rupture
 **Patients >40yr
 ==Clinical Features==

2017-01-05T05:58:40Z

← Revisión anterior		Revisión del 05:58 5 ene 2017
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	{{Knee DDX}}		{{Knee DDX}}

	==~~Work Up~~==		==Evaluation==
	*[[Ultrasound: Tendons\|Ultrasound]]		*[[Ultrasound: Tendons\|Ultrasound]]
	**Separation of the tendon can be visualized		**Separation of the tendon can be visualized
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	*Knee immobilizer, can be weight bearing		*Knee immobilizer, can be weight bearing
	*Operative repair advised within 7 days		*Operative repair advised within 7 days

			==Disposition==

			==See Also==

	==References==		==References==

2016-12-26T07:39:24Z

← Revisión anterior		Revisión del 07:39 26 dic 2016
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	==References==		==References==
	<references/>		<references/>

	*Uptodate		*Uptodate
	*Wheeless' Textbook of Orthopaedics		*Wheeless' Textbook of Orthopaedics

	[[Category:Orthopedics]]		[[Category:Orthopedics]]