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Gaceta Médica Espirituana

On-line version ISSN 1608-8921


HERNANDEZ GONZALEZ, Erick Héctor; MOSQUERA BETANCOURT, Gretel  and  RODRIGUEZ MARTINEZ, Silvino. Acute traumatic rupture of the quadriceps tendon treated with transpatellar wire suture. Gac Méd Espirit [online]. 2017, vol.19, n.1, pp.87-95. ISSN 1608-8921.

Background: The acute traumatic rupture of the quadriceps tendon is a rare diseases with an incidence of 1.37 / 100 000 patients per year. Men are the most affected and the average age of appearance is around 50 years old. Surgery offers the best results. Objective: to present a patient with acute traumatic rupture of the right quadriceps tendon, with a favorable evolution after an early primary repair with transpatellar wire suture. Case report: a 58-year-old male patient with a personal history of type II diabetes mellitus, who suffered a fall in his feet. He arrived to the emergency room with severe pain in the right knee and impossibility to walk. At physical examination showed an absolute impotence for the extension of the right leg and a depression sign in the area of ​​the quadriceps tendon. In the right knee ultrasonography, a complete continuity solution of the quadriceps tendon was observed at the level of the superior pole of the patella, which corroborated the diagnosis of an acute traumatic rupture of the right quadriceps tendon. Surgical treatment consisted of perforations in the patella and reinsertion of the tendon through steel wires, with good clinical evolution Conclusions: early primary repair with transpatellar wire suture in acute traumatic rupture of the quadriceps tendon is an effective surgical procedure when it is done in the first ten days of the lesion.

Keywords : Tendon injuries; quadriceps muscle; bone-patellar tendon-bone grafts; tendinopathy; bone wires; diabetes mellitus type 2; quadriceps tendon rupture; calcified tendinitis; tendon graft; surgical treatment; surgery.

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