Acute patella tendon rupture: a case report
Acute patella tendon ruptures are relatively infrequent compared to quadriceps tendon ruptures.

Published in the Orthopaedics and Rheumatology, the authors present the case of a 23-year old male who suffered a sports injury causing a rupture of this patellar tendon and highlight the operative management and rehabilitation protocol.

A 23-year-old amateur boxer, was admitted to Accidents and Emergency department for functional impairment of the right lower limb resulting from a ski accident one (01) hour prior to his admission. Patient recounted direct right knee impact on fall with blocked foot and body projecting backwards. There was no history of chronic illness, nor previous trauma or medication.

Physical examination found a conscious patient in good general condition with a body mass index of 25kg/m². Musculoskeletal examination noted a painful right knee swelling and a palpable infra patella gap, Patient could not maintain active right knee extension. There was no overlying wound and neurovascular exam was unremarkable. Plain knee X-ray ruled out patella fracture. MRI came back for complete rupture of the patellar tendon with a Caton-Deschamps index at 1.4 and slight knee hemarthrosis. Cruciate ligaments were intact and so were the menisci with no bony abnormalities.

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