Background: quadriceps tendon subcutaneous rupture is an uncommon injury affecting predominantly middle-aged men as a result of direct or indirect trauma; aim of this work is to evaluate clinical outcome and tendon morphology in patients treated surgically with transpatellar drilling suture. Methods: 20 patients (20 male) with an average age of 54 (42-59) were evaluated with a mean follow-up of 36 months. Measurements of range of motion (ROM) and of tight circumference were collected. Lysholm and Rougraff Score were also performed. All the patients underwent a US evaluation the morphologic changes of the repaired tendon. Results: mean active ROM was 1°-117°; average difference in the circumference of the quadriceps was 2.6% 10 C and 3.3% 15 C. The mean Lysholm Score calculated was 88/100; the mean Rougraff Score 17/25. At ultrasonographic evaluation all tendons were continuous; heterotopic ossification was present in 18 quadriceps tendons. Thickness was augmented in 18 quadriceps tendons and in 5 patellar tendons. Vascularization was always conserved. Lateral subluxation of patella was reported in 1 case. Conclusions: patellar drilling holes repair is a nondemanding procedure, inexpensive and technically uncomplicated. US evaluation confirms tendon healing; tendon remodeling does not affect patient's clinical outcome and quality of life. Level of incidence: IV. © CIC Edizioni Internazionali.

Quadriceps tendon tear rupture in healthy patients treated with patellar drilling holes: Clinical and ultrasonographic analysis after 36 months of follow-up / Verdano, Michele Arcangelo; Zanelli, Matteo; Aliani, Davide; Corsini, Tiziana; Pellegrini, Andrea; Ceccarelli, Francesco. - In: M.L.T.J. MUSCLES, LIGAMENTS AND TENDONS JOURNAL. - ISSN 2240-4554. - 4:2(2014), pp. 194-200. [10.11138/mltj/2014.4.2.194]

Quadriceps tendon tear rupture in healthy patients treated with patellar drilling holes: Clinical and ultrasonographic analysis after 36 months of follow-up

Verdano, Michele Arcangelo;Zanelli, Matteo;Aliani, Davide;Corsini, Tiziana;Pellegrini, Andrea;Ceccarelli, Francesco
2014-01-01

Abstract

Background: quadriceps tendon subcutaneous rupture is an uncommon injury affecting predominantly middle-aged men as a result of direct or indirect trauma; aim of this work is to evaluate clinical outcome and tendon morphology in patients treated surgically with transpatellar drilling suture. Methods: 20 patients (20 male) with an average age of 54 (42-59) were evaluated with a mean follow-up of 36 months. Measurements of range of motion (ROM) and of tight circumference were collected. Lysholm and Rougraff Score were also performed. All the patients underwent a US evaluation the morphologic changes of the repaired tendon. Results: mean active ROM was 1°-117°; average difference in the circumference of the quadriceps was 2.6% 10 C and 3.3% 15 C. The mean Lysholm Score calculated was 88/100; the mean Rougraff Score 17/25. At ultrasonographic evaluation all tendons were continuous; heterotopic ossification was present in 18 quadriceps tendons. Thickness was augmented in 18 quadriceps tendons and in 5 patellar tendons. Vascularization was always conserved. Lateral subluxation of patella was reported in 1 case. Conclusions: patellar drilling holes repair is a nondemanding procedure, inexpensive and technically uncomplicated. US evaluation confirms tendon healing; tendon remodeling does not affect patient's clinical outcome and quality of life. Level of incidence: IV. © CIC Edizioni Internazionali.
2014
Quadriceps tendon tear rupture in healthy patients treated with patellar drilling holes: Clinical and ultrasonographic analysis after 36 months of follow-up / Verdano, Michele Arcangelo; Zanelli, Matteo; Aliani, Davide; Corsini, Tiziana; Pellegrini, Andrea; Ceccarelli, Francesco. - In: M.L.T.J. MUSCLES, LIGAMENTS AND TENDONS JOURNAL. - ISSN 2240-4554. - 4:2(2014), pp. 194-200. [10.11138/mltj/2014.4.2.194]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2855715
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