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  • Title: Simultaneous bilateral rupture of quadriceps tendons: analysis of risk factors and associations.
    Author: Shah MK.
    Journal: South Med J; 2002 Aug; 95(8):860-6. PubMed ID: 12190222.
    Abstract:
    BACKGROUND: Simultaneous bilateral quadriceps tendon rupture is an uncommon injury that is frequently misdiagnosed. It has been associated with multiple medical conditions including renal disease, rheumatologic disorders, and endocrine disorders. METHODS: All reported cases of simultaneous bilateral quadriceps tendon rupture were identified using MEDLINE. Each case was reviewed for information regarding the injury, and this information was analyzed. RESULTS: There were 66 cases of simultaneous bilateral quadriceps tendon rupture reported in the English-language literature. This review presents descriptive data on all the cases and analyzes the following factors surrounding rupture: age, sex, time before diagnosis, mechanism of injury, location of rupture, and associated chronic diseases. Most patients were treated surgically, followed by 4 to 6 weeks of immobilization, which resulted in a good outcome. CONCLUSION: Numerous associations were found and are discussed in this review. Patients with quadriceps tendon rupture should be evaluated for an underlying chronic disease.
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