Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Orthopedics
Volume 2016, Article ID 4713137, 6 pages
http://dx.doi.org/10.1155/2016/4713137
Case Report

Bilateral Simultaneous Quadriceps Tendon Rupture in a 24-Year-Old Obese Patient: A Case Report and Review of the Literature

1Division of Orthopedic Surgery, St. Mary’s Hospital Center, McGill University, 3830 Lacombe Avenue, Montreal, QC, Canada H3T 1M5
2Department of Orthopedic Surgery, King Abdulaziz University, Abdullah Sulayman St., Al Jamiah District, Jeddah 80200, Saudi Arabia
3Department of Orthopedic Surgery, King Saud University, Riyadh 12372, Saudi Arabia

Received 28 July 2016; Revised 27 September 2016; Accepted 3 October 2016

Academic Editor: Dimitrios S. Karataglis

Copyright © 2016 Fahad H. Abduljabbar 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

Introduction. Simultaneous bilateral quadriceps tendon ruptures (SBQTR) are uncommon knee injuries and most frequently occur in male patients, over 50 years of age. It can be associated with one or more predisposing risk factors like obesity, steroids use, and hyperparathyroidism. The main focus of this paper is to review SBQTR in obese patients. Case Report. We are reporting the youngest patient in the literature to date, a 24-year-old obese male patient, who presented to the emergency department complaining of bilateral knee pain and inability to walk after a fall during a basketball game. His clinical examination revealed the presence of a palpable suprapatellar gap and loss of knee extension bilaterally. Magnetic resonance imaging (MRI) confirmed that both of his quadriceps tendons were ruptured. A day after his diagnosis, the patient underwent successful operative repair followed by rehabilitation. At the two-year follow-up, the patient had full strength of both quadriceps muscles with no extension lag. Conclusion. The diagnosis of SBQTR can be challenging. Early diagnosis and treatment are associated with better functional outcome compared to delayed treatment. Physicians should have a high index of clinical suspicion in order not to miss such an injury and achieve favourable outcomes.