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Patient with obesity and rheumatoid arthritis with bilateral quadriceps tendon rupture
Keywords:
quadriceps tendon rupture, trauma, bilateralAbstract
Objective: To present the case of a patient with obesity and rheumatoid arthritis with bilateral quadriceps tendon rupture with favorable evolution. Bilateral rupture of the quadriceps tendon is an injury with a very low incidence, due to the fact that multiple factors are involved and that it occurs in patients with previous systemic affections. The case corresponded to a young 28-year-old male patient with a history of obesity and long-standing rheumatoid arthritis, who at the time had presented bilateral trauma to both knees. Results: Physical examination revealed loss of continuity over both tendons in the knee. An anterior approach was performed where the lesion was observed, then a tenorrhaphy with allograft of the Achilles and semitendinosus tendon was performed. The adequate and early intervention allowed an important stability and successful results in the patient. Conclusions: bilateral rupture of the quadriceps tendon is a rare condition that, with timely and adequate surgical treatment, accompanied by physiotherapy, the mobility and functionality of the limbs can be completely recovered.
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