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Bilateral Atraumatic Patellar Ligament Rupture—Case Report

Bilateral atraumatic rupture of the patellar ligament is a rare lesion, usually associated with systemic diseases and drugs such as steroids and fluoroquinolones. This report presents a case of bilateral atraumatic rupture of the patellar ligament in a 43-year-old male with obesity, type 2 diabetes...

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Autores principales: Juliato, Raul Hernandez, Boschi, Luis Henrique, Juliato, Raul Francisco, Freitas, Americo Pinto de, França, Alexandre Felipe, Bottura, Lourenço Betti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510578/
https://www.ncbi.nlm.nih.gov/pubmed/31363273
http://dx.doi.org/10.1016/j.rbo.2017.12.023
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author Juliato, Raul Hernandez
Boschi, Luis Henrique
Juliato, Raul Francisco
Freitas, Americo Pinto de
França, Alexandre Felipe
Bottura, Lourenço Betti
author_facet Juliato, Raul Hernandez
Boschi, Luis Henrique
Juliato, Raul Francisco
Freitas, Americo Pinto de
França, Alexandre Felipe
Bottura, Lourenço Betti
author_sort Juliato, Raul Hernandez
collection PubMed
description Bilateral atraumatic rupture of the patellar ligament is a rare lesion, usually associated with systemic diseases and drugs such as steroids and fluoroquinolones. This report presents a case of bilateral atraumatic rupture of the patellar ligament in a 43-year-old male with obesity, type 2 diabetes mellitus, and who was being treated with a systemic corticosteroid for autoimmune disease (Wegener granulomatosis). These factors caused chronic degenerative and inflammatory changes in the ligaments, confirmed by the histological examination. Due to tissue quality, a primary ligament repair associated to an augmentation with semitendinosus tendon was performed. After 1 year, the patient presented satisfactory evolution, regaining the full range of motion and returning to his usual activities without sequelae.
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spelling pubmed-65105782019-07-29 Bilateral Atraumatic Patellar Ligament Rupture—Case Report Juliato, Raul Hernandez Boschi, Luis Henrique Juliato, Raul Francisco Freitas, Americo Pinto de França, Alexandre Felipe Bottura, Lourenço Betti Rev Bras Ortop (Sao Paulo) Bilateral atraumatic rupture of the patellar ligament is a rare lesion, usually associated with systemic diseases and drugs such as steroids and fluoroquinolones. This report presents a case of bilateral atraumatic rupture of the patellar ligament in a 43-year-old male with obesity, type 2 diabetes mellitus, and who was being treated with a systemic corticosteroid for autoimmune disease (Wegener granulomatosis). These factors caused chronic degenerative and inflammatory changes in the ligaments, confirmed by the histological examination. Due to tissue quality, a primary ligament repair associated to an augmentation with semitendinosus tendon was performed. After 1 year, the patient presented satisfactory evolution, regaining the full range of motion and returning to his usual activities without sequelae. Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda 2019-04 2019-04-15 /pmc/articles/PMC6510578/ /pubmed/31363273 http://dx.doi.org/10.1016/j.rbo.2017.12.023 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Juliato, Raul Hernandez
Boschi, Luis Henrique
Juliato, Raul Francisco
Freitas, Americo Pinto de
França, Alexandre Felipe
Bottura, Lourenço Betti
Bilateral Atraumatic Patellar Ligament Rupture—Case Report
title Bilateral Atraumatic Patellar Ligament Rupture—Case Report
title_full Bilateral Atraumatic Patellar Ligament Rupture—Case Report
title_fullStr Bilateral Atraumatic Patellar Ligament Rupture—Case Report
title_full_unstemmed Bilateral Atraumatic Patellar Ligament Rupture—Case Report
title_short Bilateral Atraumatic Patellar Ligament Rupture—Case Report
title_sort bilateral atraumatic patellar ligament rupture—case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510578/
https://www.ncbi.nlm.nih.gov/pubmed/31363273
http://dx.doi.org/10.1016/j.rbo.2017.12.023
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