High rates of return to play and work follow knee extensor tendon ruptures but low rate of return to pre-injury level of play.
Patellar tendon rupture
Quadriceps tendon rupture
Return to sport
Systematic review
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
17
05
2020
accepted:
16
03
2021
pubmed:
25
3
2021
medline:
20
8
2021
entrez:
24
3
2021
Statut:
ppublish
Résumé
Extensor mechanism ruptures (EMR) of the knee are rare but debilitating injuries that always require surgery to restore knee function. The purpose of this study was to systematically review the literature to ascertain the rate of return to play following patellar or quadriceps tendon ruptures. A systematic literature search was conducted based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, using the EMBASE, MEDLINE, and Cochrane Library databases. Inclusion criteria consisted of clinical studies reporting on return to play after patellar or quadriceps tendon repair. Statistical analysis was performed with the use of SPSS. Our review found 48 studies including 1135 cases meeting our inclusion criteria. There were 33 studies including 757 patellar tendon (PT) repairs, and 18 studies including 378 quadriceps tendon (QT) repairs. The overall rate of return to play for PT repairs was 88.9%, with 80.8% returning to the same level of play. The overall rate of return to play for QT repairs was 89.8%, with 70.0% returning to the same level of play. Among professional athletes, the overall rate of return to play after PT repair and QT repair was 76.9% and 70.9%, respectively. Following PT repair, 95.8% were able to return to work, and following QT repair, 95.9% were able to return to work. The overall rate of return to play was high following both PT and QT repairs. Moreover, a high percentage of those patients were able to return to their pre-operative level of sport with a low risk for re-rupture. Level IV.
Identifiants
pubmed: 33760963
doi: 10.1007/s00167-021-06537-4
pii: 10.1007/s00167-021-06537-4
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2695-2700Informations de copyright
© 2021. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).
Références
Ali Yousef MA, Rosenfeld S (2017) Acute traumatic rupture of the patellar tendon in pediatric population: case series and review of the literature. Injury 48:2515–2521
doi: 10.1016/j.injury.2017.08.069
Aprin HO, Broukhim BE (1985) Early diagnosis of acute rupture of the quadriceps tendon by arthrography. Clin Orthop Relat Res. 195:185–190
Bhargava SP, Hynes MC, Dowell JK (2004) Traumatic patella tendon rupture: early mobilisation following surgical repair. Injury 35:76–79
doi: 10.1016/S0020-1383(03)00069-X
Boublik M, Schlegel TF, Koonce RC, Genuario JW, Kinkartz JD (2013) Quadriceps tendon injuries in national football league players. Am J Sports Med 41:1841–1846
doi: 10.1177/0363546513490655
Boudissa M, Roudet A, Rubens-Duval B, Chaussard C, Saragaglia D (2014) Acute quadriceps tendon ruptures: a series of 50 knees with an average follow-up of more than 6 years. Orthop Traumatol Surg Res 100:213–216
doi: 10.1016/j.otsr.2013.09.014
Camarda L, D’Arienzo A, Morello S, Guarneri M, Balistreri F, D’Arienzo M (2017) Bilateral ruptures of the extensor mechanism of the knee: A systematic review. J Orthop 14:445–453
doi: 10.1016/j.jor.2017.07.008
Chang ES, Dodson CC, Tjoumakaris F, Cohen SB, Chang ES, Dodson CC et al (2014) Functional results following surgical repair of simultaneous bilateral quadriceps tendon ruptures. Phys Sportsmed 42:114–118
doi: 10.3810/psm.2014.05.2063
Enad JG, Loomis LL (2000) Patellar tendon repair: postoperative treatment. Arch Phys Med Rehabil 81:786–788
doi: 10.1016/S0003-9993(00)90112-6
Garner MR, Gausden E, Berkes MB, Nguyen JT, Lorich DG (2015) Extensor Mechanism Injuries of the Knee: Demographic Characteristics and Comorbidities from a Review of 726 Patient Records. J Bone Joint Surg Am 97:1592–1596
doi: 10.2106/JBJS.O.00113
Hassani ZA, Boufettal M, Mahfoud M, Elyaacoubi M (2014) Neglected rupture of the quadriceps tendon in a patient with chronic renal failure (case report and review of the literature). Pan Afr Med J 18:55
pubmed: 4473788
pmcid: 4473788
Ibounig T, Simons TA (2016) Etiology, diagnosis and treatment of tendinous knee extensor mechanism injuries. Scand J Surg 105:67–72
doi: 10.1177/1457496915598761
Kannus P, Natri A (1997) Etiology and pathophysiology of tendon ruptures in sports. Scand J Med Sci Sports 7:107–112
doi: 10.1111/j.1600-0838.1997.tb00126.x
Kelly DW, Carter VS, Jobe FW, Kerlan RK (1984) Patellar and quadriceps tendon ruptures–jumper’s knee. Am J Sports Med 12:375–380
doi: 10.1177/036354658401200508
Mai HT, Alvarez AP, Freshman RD, Chun DS, Minhas SV, Patel AA et al (2016) The NFL orthopaedic surgery outcomes database (NO-SOD): the effect of common orthopaedic procedures on football careers. Am J Sports Med 44:2255–2262
doi: 10.1177/0363546516651426
McGowan SP, Taylor BC, Myers DM, Passias BJ (2020) Suture anchor repair of quadriceps and patellar tendon injuries. J Long Term Eff Med Implants 30:57–60
doi: 10.1615/JLongTermEffMedImplants.2020034908
Mille F, Adam A, Aubry S, Leclerc G, Ghislandi X, Sergent P et al (2016) Prospective multicentre study of the clinical and functional outcomes following quadriceps tendon repair with suture anchors. Eur J Orthop Surg Traumatol 26:85–92
doi: 10.1007/s00590-015-1710-6
Mokoko-Louckou AE, Chaibou B, Abdouli I, Bouhelo-Pam KPB, Idrissi ME, Shimi M et al (2018) Spontaneous simultaneous bilateral rupture of the quadriceps tendon in patients with parathyroid adenoma: case report and literature review. Pan Afr Med J 29:14
doi: 10.11604/pamj.2018.29.14.13540
Nguyen MT, Hsu WK (2019) Performance-based outcomes following patellar tendon repair in professional athletes. Phys Sportsmed. https://doi.org/10.1080/00913847.2019.16428091-6
doi: 10.1080/00913847.2019.16428091-6
Nguyen MV, Nguyen JV, Taormina DP, Pham H, Alaia MJ (2018) A Comprehensive return-to-play analysis of national basketball association players with operative patellar tendon tears. Orthop J Sports Med 6:2325967118800479
doi: 10.1177/2325967118800479
O’Shea K, Kenny P, Donovan J, Condon F, McElwain JP (2002) Outcomes following quadriceps tendon ruptures. Injury 33:257–260
doi: 10.1016/S0020-1383(01)00110-3
Rasul AT, Fischer DA (1993) Primary repair of quadriceps tendon ruptures. Results of treatment. Clin Orthop Related Res. 289:205–7
Roudet A, Boudissa M, Chaussard C, Rubens-Duval B, Saragaglia D (2015) Acute traumatic patellar tendon rupture: Early and late results of surgical treatment of 38 cases. Orthop Traumatol Surg Res 101:307–311
doi: 10.1016/j.otsr.2014.12.017
Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg 73:712–716
doi: 10.1046/j.1445-2197.2003.02748.x
West JL, Keene JS, Kaplan LD (2008) Early motion after quadriceps and patellar tendon repairs: outcomes with single-suture augmentation. Am J Sports Med 36:316–323
doi: 10.1177/0363546507308192
Yousef MAA (2018) Combined avulsion fracture of the tibial tubercle and patellar tendon rupture in pediatric population: case series and review of literature. Eur J Orthop Surg Traumatol 28:317–323
doi: 10.1007/s00590-017-2048-z