Case Report
Bilateral Simultaneous Quadriceps Tendon Rupture in a 24-Year-Old Obese Patient: A Case Report and Review of the Literature
Table 1
Reported obese patients with SBQTR.
| References | Age/sex | Mechanism of injury | Location of tear | Time before diagnosis | Risk factor(s) | BMI | Outcome |
| Steiner and Palmer, 1949 [6] | 67/M | Slip and fall | NM | 2 days | Obesity | NM | Ambulatory with AD after 5 weeks | Dalal and Whittam, 1966 [14] | 63/M | Fall | OT | The same day | Obesity | NM | Extensor lag at 10 weeks | Firooznia et al., 1973 [15] | 62/M | Fall | MT | NM | Obesity/DM | NM | NM | Julius, 1984 [3] | 58/M | Fall | MT | The same day | Obesity | NM | Full ROM at 4 months | Dhar, 1988 [2] | 75/M | Fall | MT | 7 days | Obesity/HTN | NM | Extensor lag & ambulatory with AD at 4 months | 61/M | Fall | NM | 2 days | Obesity | NM | Full ROM at 5 months | Nabors and Kremchek, 1995 [16] | 43/M | Fall | OT & MT | 2 weeks | Obesity | NM | Ambulatory with AD at 6 months | El-Zahaar, 1995 [17] | 61/F | Fall | NM | The same day | Obesity/osteoporosis | NM | After 7 months, LT knee: 15 degrees of extension lag, RT knee: 20 degrees of extension lag, walks with a cane | Kelly et al., 2001 [18] | 52/M | Fall | OT | The same day | Obesity | 50.21 | After 6 month, LT knee: 10 degrees of extension lag, RT knee: 25 degrees of extension lag | Neubauer et al., 2007 [19] | 52/M | Fall | OT | 4 weeks | Obesity/HTN | NM | Decreased ROM with good strength at 14 months | 30/M | Fall | OT | 3 days | Obesity | NM | Full ROM & strength at 21 months | LaRocco et al., 2008 [20] | 52/M | Walking up a flight of stairs | NM | 2 days | Obesity/DM/HTN | NM | NM | Abduljabbar et al. | 24/M | Sport injury | OT | The same day | Obesity | 35 | Full ROM & strength with no extension lag at 4 months. Back to sports at 1 year post-op |
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MT: musculotendinous junction, OT: osteotendinous junction, NM: not mentioned, AD: assistive device, ROM: range of motion, DM: diabetes mellitus, HTN: hypertension, LT: left, and RT: right.
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