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Case Reports in Orthopedics
Volume 2018 (2018), Article ID 5047138, 5 pages
https://doi.org/10.1155/2018/5047138
Case Report

Simultaneous Bilateral Quadriceps Tendon Rupture in a Patient with Diffuse Idiopathic Skeletal Hyperostosis after Minimal Trauma: Eight-Year Follow-Up

1Department of Orthopaedics and Traumatology, Surp Pirgiç Armenian Hospital, Istanbul, Turkey
2Department of Orthopaedics and Traumatology, Faculty of Medicine, Istanbul University, Istanbul, Turkey
3Department of Orthopaedics and Traumatology, Istanbul Research and Training Hospital, Istanbul, Turkey

Correspondence should be addressed to Serkan Bayram; moc.liamg@98maryabnakres.rd

Received 15 December 2017; Revised 20 January 2018; Accepted 24 January 2018; Published 22 February 2018

Academic Editor: Taketoshi Yasuda

Copyright © 2018 Sevan Sıvacıoğlu 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. The purpose of this report was to describe a very rare case of simultaneous bilateral quadriceps tendon rupture seen in a patient who was diagnosed as having diffuse idiopathic skeletal hyperostosis. Case Presentation. A man aged 64 years presented to the emergency department with bilateral quadriceps tendon rupture. Surgical repair was performed with suture anchors and a stainless steel cable. His legs were immobilized in casts for six weeks. After removal of the casts, physiotherapy was started. Four months after surgery, he was able to walk with 0°–120° range of motion and active extension. He was followed up for 8 years without rerupture or other complications. Conclusion. Bilateral rupture of the quadriceps tendon is a rare condition and generally related to metabolic disorders. Diffuse idiopathic skeletal hyperostosis is a metabolic disorder that causes bilateral quadriceps tendon rupture, and it accounted for the differential diagnosis of the underlying condition.