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Author Topic: Ruptured Quadriceps Tendon  (Read 467245 times)

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Offline John42

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  • Complete Ruptered Patella Tendon 9 Jan 2003
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Re: Ruptured Quadriceps Tendon
« Reply #1140 on: March 09, 2015, 10:06:31 PM »
Hi Palerider

Try sleeping with a cushion or a pillow between your knees - takes the pain away.

Best

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

Complete Ruptured Tendon

Offline jcolarelli

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Re: Ruptured Quadriceps Tendon
« Reply #1141 on: April 01, 2015, 09:34:46 PM »
Moving this from the thread I started at John42's suggestion  :)

New to the site and have found a lot of good information here! Live in South New Jersey outside of Philadelphia (Cinnaminson to be exact) and ruptured my right quad tendon (near complete) in a fall on January 12, 2015.  Thereís some cartilage damage too, but theyíre not addressing that now, is that something that tends to follow later?

Took a few weeks to find out the severity of the injury though I knew something had gone horribly wrong.  Thanks to the insurance process, only one test at a time could be done before ordering the next.  On the day of the initial injury went to Critical Care (it was a Sunday) and was diagnosed with a Grade 2 strain.  Couldnít walk much at all for almost 3 days, PCP sent me for X-ray (which showed nothing), then finally a MRI which showed a near complete tear.  I was referred to the same Ortho Surgeon who did my meniscus repair 2 years ago, and a week later I was booked for surgery (February 10).

The first week was quite painful, but the next few werenít as bad as expected.  I was in the full extension brace for a full 5 weeks, and started PT last week.  Range of motion was limited at first (54 degrees), but when stretched at the end of PT is now close to 100 degrees.  Hurts like hell when they do that, but I guess thatís the way it has to be.  Itís in the back of my mind that theyíre going to tear something else by forcing things the way they do.

My knee is quite stiff every morning, takes a little while to loosen things up.  Constantly doing heel slides during the day to try to keep things loose, but any time I sit still for more than a few minutes, it stiffens back up again.

My part time job was ice hockey referee, so at 46 years old, I donít expect that Iíll be getting back to doing that for a long time if at all.  Iím using only a single crutch for support now, and long for the days where I could sit on the floor and walk the stairs easily.

Still have swelling of the leg which PT says could last for the next 6-9 months. so I take ES Tylonel twice a day for the swelling.  Ultrasound confirmed no DVT, so I have that going for me at least!

Glad to meet everyone, have found some excellent advice in many of the threads!
RQT "near complete" tear 01/11/15
MRI to confirm 01/23/15
Surgery to Repair 02/10/15
PT began on 03/20/15

Offline destroyedbothtendons

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Re: Ruptured Quadriceps Tendon
« Reply #1142 on: April 02, 2015, 09:44:16 PM »
Welcome to the board from someone in your area (Maple Shade).  I am a few years older than you though.

15 months ago I missed the last step on my deck and ruptured both of my quad tendons.  I didn't have any cartilage damage but did fracture my left patella.  Fortunately the patella all fell back into places when they put me back together.  My stiffness in the joint seemed to last for awhile but is much better know.  You are probably looking at close to a year for a full recovery.  Since I had both done my P.T. was different than yours.  I started about 2 months after my surgery and the straightening of my legs was uncomfortable.  I don't remember having that much swelling but that may be due to your meniscus issue.

The best advice I can give you is to question everything.  The word "Why" should become a large part of your vocabulary when talking to your Dr. or your P.T..  Even though I haven't been to P.T. since June I still email my therapist for advice and with questions.

Good Luck, be patient, listen to your body.
 

Bilateral Quadriceps Tendon Rupture 12/19/13.
Surgery 12/21/13
Quad Tendon Revision Repair Left Leg 4/1/15

Offline jcolarelli

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Re: Ruptured Quadriceps Tendon
« Reply #1143 on: April 03, 2015, 02:23:50 PM »
Ouch - I couldn't fathom recovering from both at the same time.  One has been hard enough.  I do question everything, repeatedly, which my PT doesn't mind, but the PA at the ortho surgeon's office does.  I'm still waiting for the OS to let me know of the ultrasound results from March 17th to rule out DVT "officially" though their office has gotten indnignant at my calls every other day.  Had a good experience with them with my meniscus repair in 2013, but will not go there again if I need an ortho again for sure.

Have to admit the swelling below the knee is difficult to accept and understand, but I'm reassured at every PT session that this is normal.  Ummmmm, ok if they say so.....

Thanks for the advice, keep it coming!  Wishing you a good recovery as well, destroyed (and anyone else going through this trauma)!
RQT "near complete" tear 01/11/15
MRI to confirm 01/23/15
Surgery to Repair 02/10/15
PT began on 03/20/15

Offline jcolarelli

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Re: Ruptured Quadriceps Tendon
« Reply #1144 on: April 07, 2015, 09:04:02 PM »
Quick update - I am 8-weeks post-op today, PT 3x per week still, see the OS on 04/21/15.  Not yet able to drive, I'm told that I will have to build up the strength to be able to press the brake pedal hard.  No brace, no crutches, limited pain.

They will be starting me on more strength inducing activities this week.  Last night I was able to get my knee to 105 degrees via heel slide and 110 degrees when stretched.  And I managed a few full rotations on the exercise bike (first time for that).  So things are coming along for me, hope all is well for others!
RQT "near complete" tear 01/11/15
MRI to confirm 01/23/15
Surgery to Repair 02/10/15
PT began on 03/20/15

Offline vince99frc

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Re: Ruptured Quadriceps Tendon
« Reply #1145 on: April 14, 2015, 05:57:24 AM »
Sorry I have been away for awhile.  My injury was late June 2013 and I had surgery July 1st, 2013.  I did my own therapy and I think I am doing good.  I can run, squat, etc.  I still get a little swelling from time to time.  Especially when I slack on my own therapy, but for the most part I can do 75 to 85% of what I was doing before the injury.  Why so low on the #?  I stopped lifting as heavy as I use to.  I injured myself playing basketball.  The fear of re-injury has made me back off.  I did test my jumping ability via trying to dunk and was successful on the 2nd attempt via jumping straight up and throwing it down.  Advantage goes to being 6 foot 7 inches.  I was having a hard time keeping my weight down.  I went from 295lbs when I injured myself to 268lbs, but now I am back up to 285lbs.  It appears if I just touch weights more than 2 days a week I start putting muscle back on.  Will I ever play another game of basketball?  Yes I do plan to, but not until next year.  I want to play by myself until I feel comfortable to try a game of 21.  You newbies just have to be patient and listen to your doctors and therapist.  Do not rush the healing or suffer re-injury.  I had one set back 8 months in due to swimming and kicking too hard trying to pick up speed.  It swelled up really good and I went to my doctor and he said it was fine, but hold off on doing that again.  My doctor actually said since I don't play sports often I should slowly progress and by the 18th month I should not have to worry.  Well for me that time has come and gone and I have not re-injured and I can do a lot with my 7 year old.  Only endurance holds me back at this point.  My doctor still thinks 250lbs would be better for me, but I doubt I will ever see that # again.  LOL!!

Offline jcolarelli

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Re: Ruptured Quadriceps Tendon
« Reply #1146 on: April 23, 2015, 04:50:40 PM »
Had my 10-week follow up on Tuesday (04/21/15). OS was very happy with PT progress, said everything looked good.  Come back in 6-weeks, go back to PT for 4 more weeks and segue into a home program.  Had 1st session of "PT the sequel" as I like to call it last night.  Nothing new added to the routine, but not sure what I did to wake up in actual pain today.  Knee seemed to be more swollen too.  Only thing I can think is that I had a new therapist (the (3) that I have been seeing were not available and there a sub for the 4th person at the practice) who stretched me a little bit differently at the end of the session.  Did more with rotating the hip joint as he stretched the leg which may or may not have stretched the tendon a but differently then usual.  Does this sound like it could be the case?  Any suggestions would be appreciated, thanks!
RQT "near complete" tear 01/11/15
MRI to confirm 01/23/15
Surgery to Repair 02/10/15
PT began on 03/20/15

Offline Stuart Rulka

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Re: Ruptured Quadriceps Tendon
« Reply #1147 on: June 04, 2015, 06:29:24 PM »
This thread has been quiet for a while so let's keep it going!On June 2nd did my 2500th  hike ( a total of 7,000,000 vertical feet), up Vancouver's GrouseGrind, exactly 20 months after my RQT surgery. Of more relevance to this thread is that it was my 267th climb (747,600 vert.ft) in that period; 23 of them (64,400 vert. ft)in the first twelve weeks after the operation.
 I'm certainly not as fast as I was, old age and all,but if the drive is there it is possible to come back. Keep a positive outlook and listen to your PT.
i would take the silence to mean everyone is doing well. Hope so; have a good summer all!
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline jcolarelli

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Re: Ruptured Quadriceps Tendon
« Reply #1148 on: June 04, 2015, 07:02:16 PM »
Hi Stuart Ė thatís great news, keep it up!

I had my last surgeon visit yesterday per my insurance company that goes along with the end of my PT period, also thanks to my insurance company!

I will be joining the local gym to continue to build the strength in my quad as it is sorely limiting right now.  Iím not yet cleared for athletic anything (no running or ice skating), which is disappointing since I long to get back on the ice and resume my referee duties!  I think those days are done for me thanks to my age, so Iíll take being able to go to a public skate again as a bonus.

Need to vent a little about the surgeonís treatment, which is lacking and bordering on malpractice IMHO.  From initial consult to final appointment yesterday, I saw the surgeon maybe 10 minutes total.  Everything else has been run through his PA.  Yesterdayís appointment lasted all of 30 seconds, during which I wasnít given any specific direction at all until I pressed him.  I asked about the continued swelling over the repaired tendon area.  Heís somewhat concerned, but not enough to go in to release the tendon (whatever that means). I had to ask for what activities I could engage after he said I was good to go (which I know I am not).  I got more useful information from my PT along the way, not the actual doctor.  Confirms my fears that Rothman is simply a cash cow, churn them in and out, hope for the best.

I plan to continue to visit my PT at least once a month to monitor progress and hopefully be back to normal-ish by the end of is calendar year!  Hang in there everyone!
RQT "near complete" tear 01/11/15
MRI to confirm 01/23/15
Surgery to Repair 02/10/15
PT began on 03/20/15

Offline destroyedbothtendons

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Re: Ruptured Quadriceps Tendon
« Reply #1149 on: June 04, 2015, 09:39:29 PM »
Sorry to hear about your experience.  My first surgeon said I was free to do anything even though I knew I wasn't physically capable.  I wonder if he just meant that I wasn't likely to re-injure myself with normal activities.  I never really asked for clarification.  This was also about 6 months after my operation and I believe you are closer to 3 or 4.

I was limited to 30 visits by my insurance company the first time which I exceeded.  After that I had to pay the "uninsured fee" which was about twice my copay.  I only went a few times for that.

My surgeon was also a Rothman Dr. but I am yet to have that issue with him.  The appointments are brief as he just checks the lag and then to make sure he doesn't find any damage to the sutured area.  He told me the sutures will take 12 weeks to completely take so until that happens I am in a locked brace (except when sitting or lying down) for another 4 weeks so there isn't a lot to talk about.  I will keep you posted if this changes.

Good Luck with the gym.  I joined one with a pool last year and did a lot of my exercising in there so I wouldn't fall and kill myself. 

"People skills" are not really a requirement for surgeons.  They make their money on the table and not with the visits...

Good Luck and keep us posted.
Bilateral Quadriceps Tendon Rupture 12/19/13.
Surgery 12/21/13
Quad Tendon Revision Repair Left Leg 4/1/15

Offline Stuart Rulka

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Re: Ruptured Quadriceps Tendon
« Reply #1150 on: June 05, 2015, 04:09:37 AM »
Jcolarelli. Bummer about your experience, but it does tend to substantiate what I have been saying about the Surgeon doing the Surgery then let the PT do the rehab. I have not seen my Surgeon since I left the hospital, I was on vacation at the time, but made it clear I was not going to comply with his instructions; no exercise for 6 months. I was actually joking with the medical staff, the regular Physicians, about retuning to work three days after surgery. They said being self employed themselves they would do the same. It's all about covering your butt.that's the way the world works!
Dbt , agree with your comment re people skills. I have maintained for years that Specialists specialize because in many cases they don't have the people skills to make it in General Practice.
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline jcolarelli

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Re: Ruptured Quadriceps Tendon
« Reply #1151 on: June 05, 2015, 01:11:38 PM »
Yea, the best advice I've received so far has been to listen to my body.  And right now it's telling me I have a ways to go.  Would be nice to have some direction about what to avoid to reduce the risk of re-injury, but it's all about feel right now.  Steps remain a challenge, but walking is good.  I'll keep on the elliptical and when it feels right, may even venture out on to the ice for the first time since January.....

Thanks for the positive reinforcement everyone!
RQT "near complete" tear 01/11/15
MRI to confirm 01/23/15
Surgery to Repair 02/10/15
PT began on 03/20/15

Offline Stuart Rulka

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Re: Ruptured Quadriceps Tendon
« Reply #1152 on: June 24, 2015, 11:11:54 PM »
Had appointment today with Sports Medicine Specialist to discuss results of MRI taken last month. Apart from"large intra-articular ossification fragment" my tendon repair looks good.
Less appealing are the presence of a complex medial meniscal tear, focal cartilage irregularity of the adjacent posterior medial condylar surface with subchondral oedema, as well as probable old MCL strain. To round things out there is mild free edge degenerative tearing of the lateral meniscus, and background tricompartmental osteoarthritis!
Makes one want to curl up into a ball and pull the covers over one's head.
Bottom line however is I am in no discomfort and have no impediments to my reasonably active lifestyle.Most of the above I suspect is to be found in any active 67 year old; my best course of action is going to be to sustain my current level of activity as long as I am able.
I bring all this up to emphasize the point that too much information can be counterproductive; the important thing is how your body feels. Exercise will only have a positive effect on most of the above conditions as it stimulates blood flow.
Or, don't be put off by medical mumbo-jumbo!
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline Stuart Rulka

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Re: Ruptured Quadriceps Tendon
« Reply #1153 on: June 25, 2015, 01:54:29 AM »
Jcolarelli, asked today about my own perceived swelling above the repair on the knee and was told this is simply hypertrophy of the healed tissues. My Doc illustrated this by pressing on the "swollen" area on the outside of the knee. He pointed out there was no ripple effect to the inside of the knee as there would be if there was fluid buildup from swelling. Interestingly he was able to illustrate the point by pressing on the outside of my "good" knee, which did show a ripple to the outside. Why there should be swelling there I have no idea but, no harm, no foul!
Scary to think your Surgeon decided against going in again to "release" the tendon. Gotta wonder how much your insurance situation had to do with that decision?
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline jcolarelli

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Re: Ruptured Quadriceps Tendon
« Reply #1154 on: June 25, 2015, 05:53:36 PM »
They're oblivious to my insurance as evidenced by the fact that on my last appointment, the receptionist told me that I was out of office visits.  Ummmm, I wasn't the one who requested the visit.  So that tells me they have no idea what my insurance would cover.  Not that that should, but their schedulers and other admin assistants should.  But I digress.... :)

I actually have excellent insurance and this whole procedure cost me maybe $100 out of pocket for the co-pays along the way.  I know it costs much more than that to perform.

So the swelling seems to have leveled off and hasn't gone much farther.  I'm now 19 weeks post op (4.5 months) and pushing the envelope a bit in what I do.  Not yet ready to run or ice skate (oh how I wish) yet, but I'm back to doing home repair things like installing some DIY fencing last weekend.  I didn't think much of the leg/knee until it told me, hey, I'm still here, do feel THAT? which happened less than I'd have expected.  I was quite sore after and a little more swollen, but it was manageable!  Still can't get on my knees for any reason yet, and that concerns me a bit.

The clicking and popping as I walk the stairs is never ending, but I can walk with a much more normal gait and for longer distances.  I did go to a concert last weekend and was on my feet for a long time and that too was too much, but bearable.  So all in all, progressing one day at a time and trying to push myself in all activities.  I'll get there I;m sure!

Couple of quick questions though Stuart, where on your knee was he pressing?  I'd like to give this a whirl just to see.  What is actually involved with the "release of the tendon?"  I've heard that phrase/term but haven't found much written about it.  And lastly, am I the only one who thinks that the amount of clikcing and popping in the knee will be an issue down the road?  I know as the tendon strengthens, the kneecap will get back on track.  But maybe it won't.....thoughts?

Thanks again for all of your input!
RQT "near complete" tear 01/11/15
MRI to confirm 01/23/15
Surgery to Repair 02/10/15
PT began on 03/20/15















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