Laattijdig gediagnosticeerde spontane bilaterale quadricepspeesruptuur bij een patiënte met jicht: casusbeschrijving en literatuuroverzicht

Abstract

A case of delayed diagnosed spontaneous bilateral quadriceps tendon rupture in a female patient with gout Spontaneous bilateral quadriceps tendon ruptures are an extremely rare finding which are generally associated with comorbidities such as chronic renal failure, diabetes mellitus, obesity and systemic diseases (systemic lupus, gout, pseudogout and hyperparathyroidism). Other related risk factors include the use of anabolic steroids and fluoroquinolones. Due to the rare occurrence, the diagnosis, which is mainly clinical, is often delayed. An MRI remains the gold standard. However, an ultrasonography often leads to a quicker diagnosis and treatment. A prompt diagnosis is crucial as the functional outcomes diminish with delayed surgical repair and increasing age. An intensive, tailored postoperative rehabilitation program is imperative in regaining a proper knee function and optimizing the functional outcome. In this article, a rare case of a delayed diagnosed spontaneous bilateral quadriceps tendon rupture in an elderly patient with gout, initially misdiagnosed as spinal stenosis with bilateral L2-S1 radiculopathy, is reported.