Quadriceps tendon rupture: causes, symptoms, diagnosis, treatment
Last reviewed: 23.04.2024
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ICD-10 code
S76.1. Injury of the quadriceps muscle and its tendons.
What causes the rupture of the quadriceps tendon?
The cause of the rupture of the tendon of the quadriceps muscle is a sudden sudden contraction of the muscle with a limb completely unbent in the knee joint, less often a direct injury.
Symptoms of rupture of the quadriceps tendon
Pain in the place of injury, violation of the supporting function of the limb, the joint is not closed. To maintain the support, patients with motion maximally rotate the limb to the outside.
Diagnosis of rupture of the tendon of the quadriceps femoris
In the history - an indication of an appropriate injury.
Examination and physical examination
The thigh in the lower third is edematous, on the 2-3th day there is a large bruise. When palpation is determined by soreness and zapadenie at the point of rupture (most often above the patella). Active extension in the knee joint is absent, passive is possible. The patella is located in the usual place, later it is marked downward.
[Treating the rupture of the tendon of the quadriceps femoris
Surgical treatment of the rupture of the tendon of the quadriceps femoris
Treating the rupture of the tendon of the quadriceps femoris operatively. Stitch the tendon, and in later terms perform its plastic. Defect at the site of the rupture is covered with lavsan or canned tendon, fascia. With this operation, muscle tone is not restored, its strength is not fully used. A.F. Krasnov developed a physiological method of tonic automyotenoplasty, which provides for the restoration of the tone of the damaged muscle and the closure of the defect with autotkans. This is achieved by dividing the quadriceps muscle into its constituent parts, performing defect plasty with surrounding autotkins and covering them with broad muscles in the form of a coat coat.
The limb is immobilized with a circular plaster bandage for 6 weeks. Then they begin rehabilitative treatment, but the immobilization is continued in the form of a removable gypsum limlet for another 1 month. Apply thermal, anaesthetizing physiotherapy, curative gymnastics, mechanotherapy for a long time, since trauma and surgery contribute to the development of fairly persistent contractures of the knee joint.