Quadriceps Tendon Tear is an injury that involves the rupture of the tendon connecting the quadriceps muscle to the patella (kneecap). This injury can result from a sudden, forceful contraction of the quadriceps muscle or a direct trauma to the knee. It disrupts the extension mechanism of the knee, leading to significant functional impairment.
Clinical Evaluation
Physical Examination: To check for tenderness, swelling, and a palpable gap above the patella. The patient may also be asked to extend their knee against resistance.
Patient History: To assess the mechanism of injury and any underlying risk factors, such as steroid use or chronic diseases affecting the tendons.
Imaging Studies
Ultrasound: To visualize the tear and assess the extent of the injury.
MRI: To provide a detailed image of the quadriceps tendon and surrounding structures, confirming the diagnosis and helping plan the treatment.
Sudden, severe pain in the knee.
Swelling and bruising around the knee.
Inability to straighten the knee.
A popping or tearing sensation at the time of injury.
Difficulty walking or bearing weight on the affected leg.
A palpable gap above the kneecap where the tendon has torn.
Treatment of a quadriceps tendon tear depends on the severity of the injury and the patient's overall health.
Non-Surgical Treatment: Suitable for partial tears and includes rest, ice, compression, and elevation (RICE), along with physical therapy to restore strength and flexibility.
Surgical Treatment: Required for complete tears and involves reattaching the tendon to the patella. Post-surgery rehabilitation is crucial for recovery.
Pain management with medications.
Use of a knee brace or immobilizer to protect the tendon during the healing process.
Gradual return to activity with a structured physical therapy program to ensure proper healing and regain full function.