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J Am Acad Orthop Surg, Vol 11, No 3, May/June 2003, 192-200.
© 2003 the American Academy of Orthopaedic Surgeons
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Quadriceps Tendon Rupture

Doron I. Ilan, MD, Nirmal Tejwani, MD, Mitchell Keschner, MD and Matthew Leibman, MD

Dr. Ilan is Chief Resident, Department of Orthopaedic Surgery, NYU–Hospital for Joint Diseases, New York, NY. Dr. Tejwani is Assistant Professor, Department of Orthopaedic Surgery, NYU–Hospital for Joint Diseases. Dr. Keschner is Chief Resident, Department of Orthopaedic Surgery, NYU–Hospital for Joint Diseases. Dr. Leibman is Resident, Department of Orthopaedic Surgery, NYU–Hospital for Joint Diseases.

Reprint requests: Dr. Tejwani, 301 East 17th Street, New York, NY 10003.

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.




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