Bilateral Atraumatic Patellar Ligament Rupture-Case Report

Revista Brasileira De Ortopedia
Raul Hernandez JuliatoLourenço Betti Bottura

Abstract

Bilateral atraumatic rupture of the patellar ligament is a rare lesion, usually associated with systemic diseases and drugs such as steroids and fluoroquinolones. This report presents a case of bilateral atraumatic rupture of the patellar ligament in a 43-year-old male with obesity, type 2 diabetes mellitus, and who was being treated with a systemic corticosteroid for autoimmune disease (Wegener granulomatosis). These factors caused chronic degenerative and inflammatory changes in the ligaments, confirmed by the histological examination. Due to tissue quality, a primary ligament repair associated to an augmentation with semitendinosus tendon was performed. After 1 year, the patient presented satisfactory evolution, regaining the full range of motion and returning to his usual activities without sequelae.

References

Feb 6, 2010·Clinical Biomechanics·William M MihalkoMarc J Fineberg
Jan 20, 2011·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Alice J S FoxScott A Rodeo
Sep 6, 2013·The Journal of Bone and Joint Surgery. American Volume·Nicola MaffulliVincenzo Denaro

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