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Case Reports in Orthopedics
Volume 2015, Article ID 937581, 10 pages
http://dx.doi.org/10.1155/2015/937581
Case Report

Arthroscopic Quadriceps Tendon Repair: Two Case Reports

1Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita 010-8543, Japan
2Sapporo Sports Clinic, Sapporo 060-0001, Japan

Received 29 October 2014; Accepted 8 February 2015

Academic Editor: Dimitrios S. Karataglis

Copyright © 2015 Hidetomo Saito 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

Recently, although some studies of open repair of the tendon of the quadriceps femoris have been published, there have been no reports in the literature on primary arthroscopic repair. In our present study, we present two cases of quadriceps tendon injury arthroscopically repaired with excellent results. Case 1 involved a 68-year-old man who was injured while shifting his weight to prevent a fall. MRI showed complete rupture at the insertion of the patella of the quadriceps tendon. The rupture was arthroscopically repaired using both suture anchor and pull-out suture fixation methods via bone tunnels (hereafter, pull-out fixation). Two years after surgery, retearing was not observed on MRI and both Japan Orthopedic Association (JOA) Knee and Lysholm scores had recovered to 100. Case 2 involved a 50-year-old man who was also injured when shifting his weight to prevent a fall. MRI showed incomplete superficial rupture at the insertion of the patella of the quadriceps tendon. The rupture was arthroscopically repaired using pull-out fixation of six strand sutures. One year after surgery, MRI revealed a healed tendon and his JOA and Lysholm scores were 95 and 100, respectively. Thus, arthroscopic repair may be a useful surgical method for repairing quadriceps tendon injury.