The quadriceps tendon is a strong, fibrous tissue that connects the quadriceps muscle to the kneecap. A rupture or tendon tear occurs due to age or if there is a severe stretch (fall).
Such an event leads to a significant impairment of active leg extension and considerable pain. As a rule, it is no longer possible to walk freely afterwards.
The most common cause of a quadriceps tendon rupture is pre-existing degeneration. The tendon can become less resilient with age. It can then rupture under heavy strain, e.g. during sport or when catching a fall .
Another cause of a rupture is direct trauma to the anterior knee. This can be caused by a heavy fall or by the knee hitting a hard edge.
Intensive training with excessive, repetitive strain on the quadriceps muscle and its tendon can lead to a rupture or partial rupture. Especially with insufficient recovery time.
The clinical examination findings of the practiced physician are often indicative. As a rule, imaging procedures are also used.
Ultrasound examinations and MRIscans can show part or all of the tendon injury and confirm the diagnosis.
Ruptures of the quadriceps tendon are among the rarest knee injuries and account for only around 4% of all tendon ruptures @ Aksana /AdobeStock
The following symptoms typically occur with a quadriceps tendon rupture:
- Sudden pain: with a quadriceps tendon rupture, there is a sudden, sharp pain in the front of the knee that worsens with movement.
- Swelling and bruising: The knee swells and there may be a bruise or bruise on the front of the thigh.
- Inability to straighten the leg: A characteristic symptom is the inability to fully straighten the leg or bend the knee.
- Limping or limping: Those affected tend to shift their body weight onto the healthy leg in order to relieve the injured leg. It is often no longer possible to stand on the affected leg
Conservative therapy
Conservative treatment may be suitable for partial tears or for patients for whom surgery is not suitable.
This includes
- rest
- Ice packs
- compression
- use of UA crutches and
- Use of anti-inflammatory medication
Crutches are usually necessary for a quadriceps tendon rupture @ cirquedesprit /AdobeStock
The use of a splint or orthosis is necessary to:
- Stabilize the knee
- Take pressure off the tendon and
- Promote healing
Surgical intervention
In the case of a complete rupture, surgery is almost always recommended to repair the quadriceps tendon and restore functionality.
Doctors can stitch the tendon directly or attach it to the bone using a special stitching technique. This ensures strain relief until the tendon has fully healed.
Physiotherapy is of crucial importance after conservative treatment or surgery. The aim is to maintain the muscles, restore mobility and regain full function of the knee joint.
Rehabilitation after a quadriceps tendon rupture is a gradual process that requires patience and discipline. Medical professionals should carefully monitor progress to ensure optimal recovery.
Early diagnosis is important for appropriate treatment to prevent limited mobility, muscle atrophy and permanent restriction of movement.
If you suspect a tendon rupture, you should consult a doctor immediately to receive the best possible treatment.