Quadriceps Tendon Tear
The quadriceps tendon more commonly tears at the knee but sometimes can tear off at the hip.
Causes
Typically, these types of tendon injuries are rare. They most often occur because of trauma. Sometimes they can be caused by a weakening of a tendon most commonly from the use of a particular antibiotic called fluorquinolones (ciprofloxacin, levofloxacin, etc.).
Symptoms
- Pain
- Numbness
- Weakness
- Inability to stand or walk
- Swelling
- Bruising
- Diagnosis
Physical Examination
Dr. Faucett will perform a physical exam to evaluate for bruising. He will examine you if you have weakness and palpate the area to examine if there is a gap.
Imaging
- X rays are usually ordered to evaluate if you may have torn off part of the bone it is attached called an avulsion.
- MRI: An MRI is often ordered to examine the soft tissues and determine if and how much of a gap has occurred due to retraction of the tendon. It can also identify associated injuries.
Treatment
- Partial Tears: For partial tears, non -surgical treatment is very effective. Rest and using crutches will allow the tendon to heal itself. Physical therapy will help maintain range of motion and when enough healing has occurred will work to regain strength in the muscle.
- Full Thickness: For full thickness tears and unhealed partial tears, surgery is usually necessary to reattach the tendon. Physical therapy will also be required afterward to build the strength back in the muscle.
Risk Factors
- Lifting heavy weights
- Taking fluoroquinolones can weaken the tendon
Outcomes
- Patients do very well after they have healed and recovered from these types of injuries.
At a Glance
Dr. Scott Faucett
- Internationally Recognized Orthopedic Surgeon
- Voted Washingtonian Top Doctor
- Ivy League Educated & Fellowship-Trained
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