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Case Reports in Orthopedics
Volume 2015, Article ID 215796, 3 pages
http://dx.doi.org/10.1155/2015/215796
Case Report

Patellar Tendon Rupture after Lateral Release without Predisposing Systemic Disease or Steroid Use

Department of Basic Medical Science, Neuroscience and Sensory Organs, University of Bari, Piazza G. Cesare 11, 70124 Bari, Italy

Received 19 January 2015; Accepted 25 March 2015

Academic Editor: Athanassios Papanikolaou

Copyright © 2015 S. De Giorgi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Arthroscopic technique for lateral release is the most widely used procedure for the correction of recurrent dislocations of the patella. In the relevant literature, several complications of lateral release are described, but the spontaneous patellar tendon rupture has never been suggested as a possible complication of this surgical procedure. Patellar tendon rupture is a rather infrequent and often unilateral lesion. Nevertheless, in case of systemic diseases (LES, rheumatoid arthritis, and chronic renal insufficiency) that can weaken collagen structures, bilateral patellar tendon ruptures are described. We report a case of a 24-year-old girl with spontaneous rupture of patellar tendon who, at the age of 16, underwent an arthroscopic lateral release for recurrent dislocation of the patella. This is the first case of described spontaneous patellar tendon rupture that occurred some years after an arthroscopic lateral release.