PMC4473788_01
Suprapatellar defect on the right knee
PAMJ-18-55-g001.jpg
PMC4473788_01_PAMJ-18-55-g001.jpg
F0001
Clinical examination revealed an inability to walk, a loss of active extension of the knee joint and palpable tendinous suprapatellar defect (Figure 1).
Lateral radiographs showing suprapatellar calcifications
PAMJ-18-55-g002.jpg
PMC4473788_01_PAMJ-18-55-g002.jpg
F0002
Radiographic investigations showed a distally displaced patella "patella baja"with suprapatellar calcifications (Figure 2).
Ultrasound showing rupture of the quadriceps tendon with calcifications
PAMJ-18-55-g003.jpg
PMC4473788_01_PAMJ-18-55-g003.jpg
F0003
The ultrasound showed an aspect of rupture of the quadriceps tendon in its proximal end with the presence of calcifications (Figure 3).
MRI confirmed the rupture of quadriceps tendon
PAMJ-18-55-g004.jpg
PMC4473788_01_PAMJ-18-55-g004.jpg
F0004
MRI confirmed the diagnosis of rupture of the quadriceps tendons and eliminates injuries of the cruciate ligament, the menisci, collateral ligaments and patellar tendon (Figure 4).
Operative view of V/Y CODIVILLA plasty
PAMJ-18-55-g005.jpg
PMC4473788_01_PAMJ-18-55-g005.jpg
F0005
The surgical repair consisted in tendon suture with biodegradable polyglycolic acid sutures with a lengthening plasty according to the V/Y of CODIVILLA's technique (Figure 5).