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Author Topic: Ruptured Quadriceps Tendon  (Read 427304 times)

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Offline bolo1

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Re: Ruptured Quadriceps Tendon - brace or cast
« Reply #600 on: February 12, 2011, 07:10:43 PM »
Hi - dislocated my knee 8 days ago and the dr said it was torn medial reticulum. I was given a cricket-pad style brace to wear.
However on going back to the consultant this week, he wanted to do an arthroscopy as I failed the single leg raise test. Woke up yesterday  from the operation with a fixed torn quad (rectus femoris) tendon. What a nice surprise! (Well good that it was fixe)

I am self employed and have to be at customer sites 1-2/xweek - if I can't do this my job is in jeopardy.
I can go by train so not driving isn't a problem.

Has anyone in the UK gone straight to a brace affter the op? I'm in a temporary cast at the moment but going for a proper one on Monday. I'm with the NHS but I don't mind opting for the brace if it permissible and less obtrusive whatever the cost.  What option is bes for longer term recovery?
Will the cast be ankle to hip? Not going to look impressive me working with senior customers wearing jacket and tie and short with the cast - arghhh!



Offline Net-i

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Re: Ruptured Quadriceps Tendon
« Reply #601 on: February 14, 2011, 05:39:28 PM »
NigelP,
I had a complete Quad rupture which was not found for 5 weeks, and the post-op blurb said that it was 5cm gap. It was first diagnosed as a sprained knee as nothing broken, and told ok to go on holiday so 4 weeks later I re-appeared and was sent to hospital.  It was only when surgeon discovered that I could not lift my leg (it's amazing how we adapt to a disablity - no-one noticed that I flicked the bad leg onto the exam tables using the good one and (according to my PT) I had been using my bones to walk and not the muscles - a REALLY hard habit to get out of) and sent me for an ultra-sound, that everyone got excited!. So surgery was just under 6 weeks from the accident, but I didn't have any extension made to the tendon.

Pre-op, I'd been warned that I may only get 60 - 80% movement back in my leg, which hit me like a ton of bricks, and that the scar would be longer as they had to drag back the retracted muscles.  I'm pleased to say that there is less than 5% difference in between my good and bad leg in mobility, which is basically neglible if I bend both together but I put that down to my impressive PT who took a holistic approach to my recovery. They also mentioned stiffness, and sometimes the muscles 'burn' but with exercise, this lessens.

I can't say that I have not had problems. Two weeks after starting physio, I got dystophy but (my PT again) accommodated this and taught me how to manage it, so has slowed me down considerably as I just want to get 'back to normal'. I've just had significant scar tissue resected and the shagpile carpet behind my knee trimmed and am just recovering from that.

It is a long recovery time, but I have one objective every day - to do one thing that I didn't/couldn't the previous day. That helps me to be positive and see that I'm always progressing forward.
Good luck with whatever you decide!

Offline martylad

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Re: Ruptured Quadriceps Tendon
« Reply #602 on: February 15, 2011, 03:19:20 PM »
bolo1

I'm afraid I can't offer any advice on brace vs. cast vs. splint but I can give you a tip on avoiding meeting clients while wearing shorts.  T.K. Maxx.  They seem to specialise in half-decent clothing that didn't sell originally because it wouldn't fit anyone who's even a vaguely normal shape.  For less than a tenner each I picked up a couple of pairs of trousers with a waist that fitted me and legs so wide that even MC Hammer would have baulked at buying them.  They fit straight over the top of my splint - job's a good'n!!

Best of luck with the recovery.

Marty

Offline martylad

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Re: Ruptured Quadriceps Tendon
« Reply #603 on: February 15, 2011, 03:54:50 PM »
Now that Iíve offered some (ahem!) useful advice, I wonder if I could ask for some assistance too.

As background, I ruptured the quad tendon in my right leg on 19th January and had an op to repair it on 25th January.  Iíve been wearing a cricket-pad splint for three weeks since then, and am due to switch to a brace 3 weeks from now.

My question relates to Range of Movement (ROM) exercises.  Iím not scheduled to have any physio until after Iíve had the brace fitted at 6 weeks post-op, but Iíve noticed others mentioning that theyíd been given ROM exercises to do straight away.  Could anyone give me an idea of what is involved in the ROM exercises?  Iíd be really keen to introduce some controlled movement but I obviously donít want to do anything thatís going to be counter-productive.

I tried to find out this info from my surgeon, along with getting an idea of when I was likely to be able to resume driving.  I received a reply from his secretary Ė ďI have passed your queries on to Mr [Surgeon], but he tells me that he discussed all of this with you at your last clinic appointment [he didnít] and he has nothing new to add.Ē  How helpful :|  If anyone is feeling more generous than he, it'd be great to hear from you.

Thanks to all whoíve posted to the site by the way, itís a really useful resource.  Apologies too if my question has already been answered somewhere else on the site Ė thereís a lot of info to get through!

Thanks

Marty

Offline John42

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Re: Ruptured Quadriceps Tendon
« Reply #604 on: February 15, 2011, 05:16:39 PM »
Hi Martylad

Let me have your e-mail address, and I will send you a set of documents, which will give you andea of the rehab process.

The documents refer to a Ruptured Patella Tendon, but the rehab is very similar.

Keep posting on KneeGuru - lots of buddies on this thread to hel;p you.

Best wishes

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline deerman

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Re: Ruptured Quadriceps Tendon
« Reply #605 on: February 17, 2011, 12:12:48 PM »
  Hi All

Received my ticket to the "club" 1-8-2011 with a slip on the steps and a complete rupture of my left quad tendon. Surgery on 1-9-11, and have had knee immobilized since. Back to doc next week and I am thinking I may start some physical therapy after that. My Dr like manyof yours not real helpfull when it comes to telling me what to expect, so I'm going more off of your posts on this site.

Can any of you give a ball park estimate on what to expect the first few weeks out of the immobilizer? How painful is the first few weeks of rehab? My knee cap pretty sore yet, and swells quite a bit by end of day.  Any advise would be helpful.

Received Johns e-mail very helpful, thanks a bunch!

Offline martylad

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Re: Ruptured Quadriceps Tendon
« Reply #606 on: February 17, 2011, 01:43:54 PM »
Hi John

Thanks for the info, much appreciated.† I haven't quite got to the bottom of it yet - some of it's quite technical - so I might be back on to ask more questions soon.

Thanks again.

Marty
« Last Edit: February 17, 2011, 01:45:47 PM by martylad »

Offline John42

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Re: Ruptured Quadriceps Tendon
« Reply #607 on: February 17, 2011, 02:26:37 PM »
Hi Deerman and Martylad


That`s what KnneGuru is all about - keep posting =-we are all here to help you - keep asking questions

Best wishes

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline REM53

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Re: Ruptured Quadriceps Tendon
« Reply #608 on: February 17, 2011, 08:32:13 PM »
Hi all,
New to your club. 53 year old guy. Feel 70 at the moment. I have read dozens of your stories and find that we are basically in the same boat  Sorry ANYONE has had to go through this.I have a question I hope that one of you may be able to answer.

I am 8 weeks post op from a full quad tear repair. Things seem to be going well. I am in my 2nd week of PT and my ROM is at 100. Had a CPM machine 1st 6 weeks. ROM on it from 30-60 was a piece of cake. Somewhere between 60-90 degrees I developed an intense pulling pain off to the inside of my kneecap away from any repairs while bending the knee. It seems to be the only thing keeping me from increasing my ROM. I have ask the OS, the PA, and the PT and the only answer from any of them was I don't know. Most days it seems to loosen up until it gets to that point that your knee just won't do anymore, but when the knee tightens up again, the pain is there. Bending only. Never when straightening or walking on it. I am able to walk on it full weight bearing with crutches with no pain.
Have any of you ever experienced anything like this? I don't see many people say just how painful regaining their ROM was, and where it hurts. I expect pain and pulling around the repair, and regardless of the intensity will deal with it, but from experience I would love to hear from some of you to tell how it was for you and if you ever had a pain such as this.
Thanks - Rick

Offline Net-i

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Re: Ruptured Quadriceps Tendon
« Reply #609 on: February 18, 2011, 11:13:11 AM »
Martylad/Deerman,
when you start the PT will depend on the repair and healing, so I guess you'll have to take the experts advice on that.  I didn't start physio until after I'd come out of the cast after 9 weeks. Until then (as I'd asked if I could move my foot) I did aeroplane exercises - you know the ones that you do on the plane to exercise and prevent DVT? This meant that I also did not lose much muscle - which surprised a few people when the cast came off, and made me feel like I was doing something.

The ROM exercises are to break the scar tissue, which the PTs want as quickly as possible to prevent problems further down the line, and to start to build the muscles. Yes, there's pain  :'(, but  (as my PT put it) go to the point of feeling pain and push a smidgen more! The trick is little and often - 5/10 mins per hour, and when the dark depressing thoughts appear, remember how far you could move it a week or two ago. Seeing your progress does spur you on.  I also set myself a goal to do something every day that I could not do previously (mainly re independence) so it was great when I could finally put my own socks on/cut my own toenails etc. :D

I'm not sure about the splints and braces that I'm reading about as my accident happened outside UK, but when I came out of the cast I was given two alternatives - a walking cast (which I assume is much like the brace, or nothing (just using crutches).  I got a walking cast made (it's like a full cast but with velcro straps, but at the first visit to PT, she told me that although I could walk unaided with the cast, it doesn't encourage natural movement and can lead to bad habits and possibly complications.  That was the last time I wore it, and it now sits on my giant Heineken 'penny' bottle.

My progress was hampered by dystrophy, so was a bit slower, but you get out of it what you put in.  I think my grim determination carried me through most.  You shouldn't drive until you can safely do an emergency stop, or your insurance will be invalid.

Had my first real PT session in UK following an arthroscopy to fix the other damage in my knee (and can finally restart the steps/squats etc.) Leg is sore today, but it's a 'good' sore, i.e. it's not the knee, it's the muscles complaining that they've had to do some 'real' work!

Best of luck in your recovery. It's a long road, but stick with the regime (and site) and you'll get through it....

Offline TCKRDR

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Re: Ruptured Quadriceps Tendon
« Reply #610 on: February 22, 2011, 04:35:16 PM »
I'm a new victim of a quadriceps tendon tear, having slipped on ice February 14, 2011.  My left knee was injured and there was a longitudinal tear up into the muscle as well (not sure which quadriceps head).  I had surgical repair on February 18.  Post operatively, I am in an immobilizer set at 0 degrees of flexion and I'm able to bear weight while wearing the immobilizer.
The pain is subsiding, but there is still swelling in my thigh, knee, lower leg and foot.
From what I have read on this forum, and elsewhere, this injury has a long recovery process.  It seems that reinjury and not achieving a full return to preinjury strength and mobility are not uncommon.
I was very active prior to my injury, and I was a competitve road cyclist.  It seems unlikely I'll be able to race again.  I'm hoping to at least be able to return to casual cycling and do non-competitive events such as centuries.

BTW, I'm from the US (Illinois), but I am sure everyone has picked up on that already.

Offline John42

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Re: Ruptured Quadriceps Tendon
« Reply #611 on: February 22, 2011, 05:34:35 PM »
Hi and welcome to the RQT thread on KneeGuru - lots of buddies on this thread to help you.

I have sent to you a collection of documents which I have accumulated over the years, which will give you an idea of the rehab process.

Do not hesitate to ask questions - lots of buddies out there to help you.

Best wishes

JohnK/ Manchester UK
Ruptured Patella Tendon January 9 2003
Slipped on black ice.  Manchester UK

Complete Ruptured Tendon

Offline Ian B

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Re: Ruptured Quadriceps Tendon
« Reply #612 on: February 23, 2011, 01:05:09 AM »
Hi TCKRDR,

I am the exception.  I suffered a complete tendon tear in early Sept 2009.  I had surgery 2 days later.  I did not return to PT after the first vist (6 weeks after surgery).  It is now 18+ months.  I am pretty much back to normal.  I am doing 1.5 miles on a treadmill each morning.

In my recovery, I was walking in a Zimmerman brace after a few days (I added some additional stiffeners).  Crutches were completely gone after 10 days.  The brace was gone after 6 weeks.  I was very careful!!!!.

Bottom line was that I recovered far better than I had initially hoped.  After 16-20 weeks, I was really pushing the ROM, but came to the conclusion it was not helping.  My leg was stiff and sore all day.  I stopped pushing and felt much better.  It has gardually come back.  I can now fully squat, and have no pain or discomfort.

By 8 months out, the injury was not really impacting me.

I am no jock, so I was not pushing the recovery, but I recovered far faster than I was expecting, and it was basically with self directed exercise.  Remarkably, the tendon tear was 100%.  Because I could slightly lift the leg pre-surgery, the surgeon was expecting to find partial attachment.  He said he was really surpised to find 100% dettachment when he got in.  I was very careful at the start to avoid anything that could re-injure the repair.

I believe I was unrealistically lucky, but as long as things do not hurt, do everything you can do.  Everybodies experience is different.  When I was in the brace, I walked and climbed stairs as much as I could.  I was basically back at work partime after a couple of weeks and fulltime after 3-4 weeks.  If it feels OK, do it.

Check my earlier posts.

Good luck,  Ian

Offline stylabull

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Re: Ruptured Quadriceps Tendon
« Reply #613 on: February 23, 2011, 01:17:22 PM »
Hi all,

Am pleased to be able to say that I took part in my first cricket net session last week since rupturing my right quads back in August 09, found that everything hurt afterwards apart from my knee!! Took things very gently to begin with and managed about an hours worth of bowling followed by 15-15 minutes with the bat. To anyone who is suffering 'newly' or still on the recovery path, have faith and more importantly patience, it will get better but needs to be given time, follow all the advice you get and keep smiling  :)

Chris

Offline Unlucky

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Re: Ruptured Quadriceps Tendon
« Reply #614 on: March 20, 2011, 08:29:29 AM »
Greetings All from Western Australia,

I, like a surprising number of others, fell down a couple of stairs at home, landing directly in my kneecap, thus causing a complete rupture of the Quadriceps tendons. Was a tad unlucky, as I was due to fly out to Europe 4 hours later for a work related trip to visit factories etc however instead of the International Airport I was at Royal Perth Hospital. Operation 2 days later and now "recuperating" at home with my new best friends, the lounge and the TV remotes (we used to be just good mates, but now BFF's...)

I have my first post-op reveiw with the surgeon next Tuesday, and I am eager to find out about the recuperative process and the length of time I should expect this to take. I have found limited or no pain in my leg, swelling has reduced in the lower leg although still quite swollen around the knee. I am wearing a ankle to thigh fixed brace pretty much 24/7, with a couple of small windows where I release the velcro straps to let the leg breathe.
My main gripe is that I can't get comfortable at night so am having very average sleeps. I have also tried to wean myself off painkilling medication, as essentially there has been no pain.

Would love some feedback as to mobility. I can get around on crutches and without crutches as well, however am very mindful of not pushing the boundaries, as I have a planned holiday in Thailand in early June which is my goal.

Any guidance and suggestions would be most welcome, and good luck to all who are recovering.

Cheers.















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