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  • Patellar Tendon Ruptures

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    Nanda Perdana
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    The patellar tendon is prone to rupture, especially in athletes under 40 years old. A rupture occurs when excessive tensile stress is placed on the tendon, such as when going upstairs. Diagnosis involves physical examination showing upward displacement of the patella and loss of extension, along with imaging like x-rays and MRI. Treatment options include immobilization for partial tears or surgical repair within 6 weeks for full ruptures, with various surgical techniques available. Post-operative rehabilitation is important to regain quadriceps strength and knee function.

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    PowerPoint presentation of patellar tendon rupture

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    The patellar tendon is prone to rupture, especially in athletes under 40 years old. A rupture occurs when excessive tensile stress is placed on the tendon, such as when going upstairs. Diagnosis involves physical examination showing upward displacement of the patella and loss of extension, along with imaging like x-rays and MRI. Treatment options include immobilization for partial tears or surgical repair within 6 weeks for full ruptures, with various surgical techniques available. Post-operative rehabilitation is important to regain quadriceps strength and knee function.

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    21 views25 pages

    Patellar Tendon Ruptures

    Uploaded by

    Nanda Perdana
    The patellar tendon is prone to rupture, especially in athletes under 40 years old. A rupture occurs when excessive tensile stress is placed on the tendon, such as when going upstairs. Diagnosis involves physical examination showing upward displacement of the patella and loss of extension, along with imaging like x-rays and MRI. Treatment options include immobilization for partial tears or surgical repair within 6 weeks for full ruptures, with various surgical techniques available. Post-operative rehabilitation is important to regain quadriceps strength and knee function.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 25

    PATELLA TENDON

    RUPTURES
    INTRODUCTION

    • Patelar tendon rupture is uncommon disorders


    • High incidence below 40 years old
    • Most suspicion athlete is
    UNILATERAL
    >>>
    BILATERAL
    ↓
    SYSTEMIC
    DISEASE
    ANATOMY
    ANATOMY

    • 4 mm thick in midsubstance and 5-6 mm thick in


    tibial tubercle insertion
    • 90 % is colagen type I and 10% colagen type III
    ANATOMY

    Avascular Weakest point


    BIOMECHANICS

    • Tensile stress >> in 600 flexion


    • 3,2 x Body weight when going
    upstairs

    Patellar tendon rupture occur when patellar


    tendon receive force 17,5 x of Body Weight
    PATHOGENESIS

    • Repetitive microtrauma with tendon


    stiffness is the main pathogenesis
    • DM, SLE, RA and steroid injection 
    Bilateral rupture
    CLASSIFICATION

    Based on :
    • Location
    • Tear pattern
    < 2 weeks  GOOD

    Times
    > 2 weeks  BAD
    EVALUATION

    • Rebound
    • “pop-sound”

    • Loss of extension and loss of upstanding


    • Upward patella
    EVALUATION

    Upward patella
    IMAGING

    • X – Ray

    A / B : >1,2  Patella alta


    IMAGING

    • Ultrasound Hipoechogenic
    IMAGING

    • MRI
    MANAGEMENT (NON-OPERATIVE)

    • Indication  Partial rupture


    • Immobilize first (3 months), continue with
    exercise
    MANAGEMENT (OPERATIVE)

    • Indication  total rupture


    • Best result if perform at 2 – 6 weeks after
    accident
    • VARIOUS TECHNIQUES
    MANAGEMENT (OPERATIVE)
    VARIOUS TECHNIQUES
    MANAGEMENT (OPERATIVE)
    VARIOUS TECHNIQUES
    MANAGEMENT (OPERATIVE)
    Delayed repair
    • Perioperative patellar traction if
    necessary
    • Autogenous graft
    MANAGEMENT (OPERATIVE)

    Tibial tubercle avulsion


    • Rare condition
    • Associated with osgood schlatter disease
    • Fixation with small screw
    WHICH ONE IS SUPERIOR ???
    POST OP MANAGEMENT
    COMPLICATION

    • Loss of quadriceps muscle power


    • Loss of full knee extension
    • Re-rupture
    • Skin iritation due to wire
    • Hemarthrosis
    CONCLUSION
    CONCLUSION

    EARLY
    REPAIR
    SAFE YOUR KNEE
    THANK YOU

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