%0 Journal Article
%T Bilateral simultaneous rupture of the quadriceps tendon in a patient with psoriasis: a case report and review of the literature
%A Shanaka Senevirathna
%A Sarkell Radha
%A Aysha Rajeev
%J Journal of Medical Case Reports
%D 2011
%I BioMed Central
%R 10.1186/1752-1947-5-331
%X A 57-year-old Caucasian man with a known history of psoriasis, for which he was being treated with topical steroid preparations, presented to our hospital with clinical signs of bilateral quadriceps tendon rupture after he fell while walking down stairs. The diagnosis was confirmed by bilateral ultrasound scans of the thighs. The patient underwent surgery to repair both quadriceps tendons. Post-operatively, the patient was immobilized first in bilateral cylinder casts for six weeks, then in knee braces for the next four weeks. His knees were actively mobilized during physiotherapy.Bilateral quadriceps tendon rupture is a rare occurrence in patients with psoriasis who are being treated with topical steroids.Bilateral quadriceps tendon rupture is extremely rare in the absence of systemic disease. The co-existence of systemic and local disease is taken into consideration in the pathogenesis of these ruptures. The pre-disposing factors for spontaneous tendon rupture include chronic systemic disease, treatment with systemic steroids or local steroid injections, or trauma [1-4]. In the present report, we describe a rare case of simultaneous bilateral traumatic quadriceps tendon rupture in a patient with psoriasis who was being treated only with topical steroid preparations and was not taking systemic steroids.A 57-year-old Caucasian man with a history of psoriasis, for which he was taking topical steroid preparations, fell while walking down stairs. Initially, his left leg gave way, and he landed on his hyperflexed right knee. He had been unable to bear weight on his legs since then and presented to our Accident and Emergency Department with painful swelling over both knees.His physical examination revealed that both knees were very tender to touch over the suprapatellar region and had massive suprapatellar swelling. He was unable to perform a straight leg raise on both sides, although active quadriceps contraction was seen. On palpation, a defect in the continuity of bot
%U http://www.jmedicalcasereports.com/content/5/1/331