Non-Operative Rehabilitation of Isolated Popliteus Tendon Rupture in a Rugby Player

Knee Surgery & Related Research
Denis Pak-Han KoongBrahman Shankar Sivakumar

Abstract

Isolated rupture of the popliteus tendon is uncommon; instead, it is often seen as part of multi-ligamentous posterolateral corner injuries. In this report, we present a case of a 22-year-old professional rugby player who sustained a lateral blow to his semi-flexed knee in a tackle during a competitive game. A complete popliteus tendon rupture at its musculo-tendinous junction was diagnosed on magnetic resonance imaging despite a relatively unremarkable physical examination. The aims of this report are to highlight the diagnostic challenges with this rare injury as physical signs are often subtle and non-specific. Furthermore, we demonstrate the viability of conservative management in the setting of a direct contact mechanism. Indeed, our patient was successfully treated with a specific rehabilitation protocol via isometric quadriceps contractions, gastrocnemius-soleus and hamstring strengthening exercises and graded activity with successful return to full contact activities at 4 weeks and regular season matches shortly after.

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Citations

Mar 20, 2019·American Journal of Physical Medicine & Rehabilitation·Diyaa Abdul Rauf AlgazwiJames Thomas Patrick Decourcy Hallinan
Mar 9, 2021·Arthroscopy Techniques·Justin W ArnerJonathan A Godin
Jun 15, 2021·Journal of Clinical Orthopaedics and Trauma·Christine AzzopardiRajesh Botchu
Jun 25, 2021·Global Pediatric Health·Nicholas L NewcombPiers A Barry
Jan 27, 2022·JBJS Case Connector·Christopher BlackwellRobert G Marx

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