症例報告
大腿四頭筋腱皮下断裂の3例
2020 年 39 巻 1 号 p. 33-37
詳細
2020 年 39 巻 1 号 p. 33-37
The quadriceps tendon is strong, and the subcutaneous tear is a rare disease in the knee extensor mechanism injury. We experienced 3 cases in middle-aged men who were performed surgery by the pull-out method reattached to the proximal portion of the patella.
Case 1: Sliding in a puddle while walking, and falling forward when standing with the left knee. Operation was done at 10 days after the injury.
Case 2: Fallen by stairs. sliding down in a state of the sitting straight. Operation was done at 5 weeks after the injury.
Case 3: Injured in going down the stairs in a drunkenness state. Operation was done at 10 days after the injury.
In all cases, after surgery over six months, the range of knee motion was full without extension lag.
As a diagnosis was late in case 2, this disease is sometimes easily ignored because of lacking the characteristic views on the X-rays. The most important point to diagnose precisely this disease is that a physician do careful clinical examination.
