tailieunhanh - Báo cáo y học: "Bilateral simultaneous rupture of the quadriceps tendon in a patient with psoriasis: a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Bilateral simultaneous rupture of the quadriceps tendon in a patient with psoriasis: a case report and review of the literature. | Senevirathna et al. Journal of Medical Case Reports 2011 5 331 http content 5 1 331 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Bilateral simultaneous rupture of the quadriceps tendon in a patient with psoriasis a case report and review of the literature Shanaka Senevirathna Sarkell Radha and Aysha Rajeev Abstract Introduction Bilateral quadriceps tendon rupture is not common in the absence of systemic disease. Patients with chronic systemic diseases such as uremia and systemic lupus erythematosus and patients who are being treated with systemic steroids or local steroid injections are more prone to tendon rupture. The tendon can rupture spontaneously or as a result of trauma. We report an unusual case of simultaneous bilateral traumatic quadriceps tendon rupture in a patient with psoriasis who was being treated with topical steroid preparations. Case presentation A 57-year-old Caucasian man with a known history of psoriasis for which he was being treated with topical steroid preparations presented to our hospital with clinical signs of bilateral quadriceps tendon rupture after he fell while walking down stairs. The diagnosis was confirmed by bilateral ultrasound scans of the thighs. The patient underwent surgery to repair both quadriceps tendons. Post-operatively the patient was immobilized first in bilateral cylinder casts for six weeks then in knee braces for the next four weeks. His knees were actively mobilized during physiotherapy. Conclusion Bilateral quadriceps tendon rupture is a rare occurrence in patients with psoriasis who are being treated with topical steroids. Introduction Bilateral quadriceps tendon rupture is extremely rare in the absence of systemic disease. The co-existence of systemic and local disease is taken into consideration in the pathogenesis of these ruptures. The pre-disposing factors for spontaneous tendon rupture include chronic systemic disease treatment with systemic steroids or local steroid

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