tailieunhanh - Quản lý phẫu thuật xương bánh chè

Trong số các gân cơ bốn đầu là An không phổ biến nhưng chấn thương nghiêm trọng đòi hỏi phải nhanh chóng chẩn đoán và quản lý phẫu thuật sớm. Nó là phổ biến hơn ở tuổi ( 40 tuổi) Các cá nhân liên quan và IS Đôi khi Bên dưới điều kiện y tế. Trong Đặc biệt, song phương tự phát vỡ liên kết với tháng | Quadriceps Tendon Rupture Doron I. Ilan MD Nirmal Tejwani MD Mitchell Keschner MD and Matthew Leibman MD Abstract Rupture of the quadriceps tendon is an uncommon yet serious injury requiring prompt diagnosis and early surgical management. It is more common in older 40 years individuals and sometimes is associated with underlying medical conditions. In particular bilateral spontaneous rupture may be associated with gout diabetes or use of steroids. Clinical findings typically include the triad of acute pain impaired knee extension and a suprapatellar gap. Imaging studies are useful in confirming the diagnosis. Although incomplete tears may be managed nonsurgically complete ruptures are best treated with early surgical repair. J Am Acad Orthop Surg 2003 11 192-200 Rupture of the quadriceps tendon is a relatively infrequent but serious injury requiring prompt diagnosis and It is more common in patients older than 40 years and often is associated with underlying medical The first written description of quadriceps tendon injury is credited to Galen who described it in a young 6 Even after prolonged healing the athlete was unable to extend his knee and had difficulty walking on inclined surfaces. Quadriceps tendon rupture may result from either indirect or direct mechanisms. Clinical findings typically include the triad of acute pain inability to actively extend the knee and a suprapatellar Various imaging modalities such as plain radiographs ultrasound and magnetic resonance imaging MRI may be used to evaluate quadriceps tendon injury. A spectrum of pathology exists that can affect the quadriceps tendon including 1 incomplete rupture 2 acute unilateral rupture 3 bilateral rupture and 4 tendinosis or so-called jumper s knee. Incomplete or partial quadriceps tendon ruptures and jumper s knee are usually treated Complete tendon rupture requires surgical repair for optimal results and several techniques have .