CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(02): 223-227
DOI: 10.1016/j.rbo.2017.12.023
Case Report | Relato de Caso
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Bilateral Atraumatic Patellar Ligament Rupture—Case Report[*]

Article in several languages: português | English
Raul Hernandez Juliato
1  Hospital São Domingos-Unimed, Catanduva, SP, Brasil
,
Luis Henrique Boschi
1  Hospital São Domingos-Unimed, Catanduva, SP, Brasil
,
Raul Francisco Juliato
1  Hospital São Domingos-Unimed, Catanduva, SP, Brasil
,
Americo Pinto de Freitas
1  Hospital São Domingos-Unimed, Catanduva, SP, Brasil
,
Alexandre Felipe França
1  Hospital São Domingos-Unimed, Catanduva, SP, Brasil
,
Lourenço Betti Bottura
1  Hospital São Domingos-Unimed, Catanduva, SP, Brasil
› Author Affiliations
Further Information

Publication History

27 September 2017

14 December 2017

Publication Date:
15 April 2019 (online)

Abstract

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.

* Work developed at Hospital São Domingos-Unimed, Catanduva, SP, Brazil.