A new clinical test in diagnosing quadriceps tendon rupture.

Abstract:

INTRODUCTION:Extensor mechanism ruptures might be easily overlooked and misdiagnosed, and delayed diagnosis of quadriceps tendon rupture is frequent. However, the literature recommends early surgical repair within 72 h. PATIENTS AND METHODS:This paper describes a new simple clinical diagnostic test that directly evaluates the integrity of the distal 5 cm of the quadriceps tendon itself. It consists of inserting a needle in the tendon, proximal to the suspected rupture and mobilising the knee joint. RESULTS:The suspected ruptured quadriceps tendons with a positive 'needle' diagnostic test were confirmed intra-operatively. CONCLUSIONS:This minimally invasive and easily available technique should be considered in the diagnostic work-up and treatment planning of patients with suspected tears of the quadriceps tendon.

journal_name

Ann R Coll Surg Engl

authors

Jolles BM,Garofalo R,Gillain L,Schizas C

doi

10.1308/003588407X179044

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

259-61

issue

3

eissn

0035-8843

issn

1478-7083

journal_volume

89

pub_type

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