Bilateral Quadriceps Tendon Rupture: Late Diagnosis and Direct Repair Rutura Crónica Bilateral do Tendão Quadricipital: Diagnóstico Tardio e Reparação Direta

Abstract

Bilateral quadriceps tendon rupture is a rare lesion and is often missed at initial evaluation.
We describe the case of a 41-year-old male, with no past medical history or current medications, late diagnosed with bilateral quadriceps tendon rupture (3 months of evolution) after minor trauma. He was submitted to bilateral tendon repair with transpatellar fixation and anchor suture. Satisfactory post-operative outcomes were achieved following rehabilitative physiotherapy.
At 6 months follow-up passive and active range of movement 0 to 120° could be achieved.
For its rarity and variable clinical presentation, bilateral quadriceps tendon rupture diagnosis requires a high level of clinical suspicion.
Early treatment has been associated to less demanding surgical technique and better functional outcome. In the present case it was possible to achieve direct repair with transpatellar fixation and anchor suture, with functional recovery to previous healthy state.