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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 10, 1361-1363.
doi: 10.1302/0301-620X.87B10.16624  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Rupture of the quadriceps tendon

AN ASSOCIATION WITH A PATELLAR SPUR

J. R. W. Hardy, MD, FRCS(Ed), FRCS(Eng), FRCS(Orth), Consultant Orthopaedics and Trauma1; M. Chimutengwende-Gordon, MBChB, Senior House Officer2; and I. Bakar, MB, ChB, MRCS, Registrar3

1 BUPA Hospital Bristol, 3 Redland Hill, Bristol BS6 6UT, UK.
2 Horton Hospital, Oxford Road, Banbury, Oxfordshire 0X16 9AL, UK.
3 Derriford Hospital, Derriford Road, Plymouth PL6 8DH, UK.

Correspondence should be sent to Mr J. R. W. Hardy; e-mail: john{at}johnhardy.co.uk

We reviewed the records of 107 consecutive patients who had undergone surgery for disruption of the knee extensor mechanism to test whether an association existed between rupture of the quadriceps tendon and the presence of a patellar spur. The available standard pre-operative lateral radiographs were examined to see if a patellar spur was an indicator for rupture of the quadriceps tendon in this group of patients. Of the 107 patients, 12 underwent repair of a ruptured patellar tendon, 59 had an open reduction and internal fixation of a patellar fracture and 36 repair of a ruptured quadriceps tendon. In the 88 available lateral radiographs, patellar spurs were present significantly more commonly (p < 0.0005) in patients operated on for rupture of the quadriceps tendon (79%) than in patients with rupture of the patellar tendon (27%) or fracture of the patella (15%). In patients presenting with failure of the extensor mechanism of the knee in the presence of a patellar spur, rupture of the quadriceps tendon should be considered as a possible diagnosis.




eLetters:

Read all eLetters

Radiology of Quadriceps tendon rupture
Harish V Kurup, et al.
J Bone Joint Surg Br Online, 27 Oct 2005 [Full text]
Author's reply:
John RW Hardy
J Bone Joint Surg Br Online, 18 Jan 2006 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General