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Author Topic: Ruptured Quadriceps Tendon  (Read 414729 times)

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Offline Chiropractor2001

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Re: Ruptured Quadriceps Tendon
« Reply #1215 on: January 03, 2017, 03:09:33 AM »
Tja
Best of luck... it.is  a long road ahead. I realized that a lot of people that say they had a full tear, they had actually a partial tear. Take your time getting better. The first 90-100 degrees is easy.. then you need to.work harder to get more movement.  Ask your surgeon how.much pressure can you put on it. And  increase your rom as you go... step by step. Don't push too hard as the beginning and listen to your pt..

Offline Denver55

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Re: Ruptured Quadriceps Tendon
« Reply #1216 on: January 03, 2017, 08:53:26 PM »
TJA, everybody's different. Gotta go at your own pace.  Hang in there.

Offline Stuart Rulka

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Re: Ruptured Quadriceps Tendon
« Reply #1217 on: January 05, 2017, 05:55:20 AM »
TJA, my OS, who was aware of my workout habits, told me pre-op, no hiking for a year. I told him that wasn't going to fly. His response was "well, at least six months!" I responded with, "no promises, and I have to be back at work in three days!" I was.
  In fact with the help of a very aggressive PT, who was Head PT at the Vancouver Olympics, I was back on Vancouver's Grouse Grind six weeks to the day after surgery. My Sports Medicine Specialist conceded later that he would have done the same.
The point I keep belabouring here is that the OS interest is in seeing that his surgery is successful. That is simply human nature. It is the PT's job to get you functioning, and the longer you wait, the more atrophy, and the harder the recovery. He/she is the recovery Specialist not the OS.
I realise how fortunate Iwas to have had an excellent and conscientious Surgeon; he kept me in Hospital an extra night as he felt I would need IV painkillers, I didn't. The fact is however, that this is a life-altering injury, especially for a Senior, and the sooner one is back on one's feet the less serious the ramifications.
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013

Offline Barrjoe

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Re: Ruptured Quadriceps Tendon
« Reply #1218 on: January 11, 2017, 03:29:09 PM »
New here, so here's my story.

Nov 6, 2016 ruptured rt quad going down stairs. Had surgery 11/8 , all went ok. Was in a brace for about 4 weeks. On crutches for another 2 weeks and started pt in mid-December. All was going well. Was even walking about a mile 4 times a week in a flat,dry environment. Was scheduled back to work 1/4/2017.

Here's where the fun starts!  On 12/30, I was taking the trash out before my pt appt. was going back into house to grab my coat and my right leg gave out going up the stairs . Hurt a lot for a few minutes but seemed ok. Decided to go to pt anyway since while it did hurt, it wasn't unbearable and my knee didn't seem unstable. Got to the therapists and she iced it, did some electrical stimulus treatment, and told me to call Ortho, and use crutches and ice it all weekend. It did swell a lot, probably close to the size of a basketball, no exaggeration!

Got home and called Ortho and they got me in with a PA that afternoon. Went to appt and the xrayed with nothin notable on it. PA thought I re-ruptured quad tear and they put me in a brace. Over the weekend the brace became unbearable so I ditched it and just wrapped it and iced it over the weekend. Saw the Ortho surgeon, same guy that did first surgery on 1/3 . He confirmed that I tore it again. I told him the symptoms didn't feel at all like the first time. I honestly thought I just had a deep bruise. Anyway, they operated on 1/5/2017 and it was indeed re-ruptured. Ortho said it's only the second re tear he's ever seen. Lucky me!  Anyway, I'm now in a full length splint until 1/20 at which time they're putting me in a cast. Not sure how long.

Any similar experiences?


Offline Chiropractor2001

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Re: Ruptured Quadriceps Tendon
« Reply #1219 on: January 11, 2017, 08:54:46 PM »
Hi barrjoe
Sorry to hear that. I am sure you will be okay.
It is tough. Less than  3 percent of patellar and quad rerupture. Just unlucky. It probably did not fully torn either.
I have seen one more person in this forum who had reruptured his quad tendon. He recovered nicely..



Offline Barrjoe

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Re: Ruptured Quadriceps Tendon
« Reply #1220 on: January 12, 2017, 12:46:51 AM »
Hope You're right.  Was kind of shocked when I  the first time I did I it. But the more I read up on it, I fit the criteria almost to a T. I'm a mid 50's male who pretty active. Mostly walking, biking and snowshoing, most of which I do almost daily depending on the season. When it went, my knee collapsed on me with no warning what so ever. Next thing I knew I was face down on my garage floor. Thank God it's only two steps. Like I said earlier, the recovery and pt were all going well. Had excellent range of motion, but lacking in strength. Only real problem was stairs. I was very cautious using them. I was also going back to work on 1/4 with no restrictions.  While my job isn't exactly backbreaking, it isn't easy either. A lot of climbing, ladders and kneeling and most of the time not in the most ergonomic correct positions. Wasn't sure if I was ready for everything at work, but was gonna give it a shot.

The re rupture I find very disturbing to say the least. Mostly from the mental aspect about what quality of life am I gonna have from now on. And wether or not I'm going to be able to keep working. The Ortho doc, who is an excellent doctor , told my wife he's only seen one re-tear. And he's been at it for a while. And he's taking a conservative approach. In a full leg splint for 2weeks then a Long leg cast for a month. Fun! 

Wish I would have found this the first time around. Thanks for you feedback and I will,post my progress

Offline Chiropractor2001

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Re: Ruptured Quadriceps Tendon
« Reply #1221 on: January 12, 2017, 03:30:02 AM »
Hi Barrjoe
This injury definitely plays mind game. Don't let it keep you down.
Things could always be worse. Make sure you have a good therapist and be a bit more conservative in your rehab for the first few weeks after the cast is off.
Things get better? You have been there before.
Enjoy this time off with family and kids.. ( make the best out of it).. and lots of good movies and books..
Keep on posting and reading other posts...it will help and  encourages you in getting better faster..


Offline Barrjoe

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Re: Ruptured Quadriceps Tendon
« Reply #1222 on: January 14, 2017, 01:51:26 PM »
About 10 days post op here. Had a bad night last nite. Shooting pain over knee cap for about an hour. Calmed down after taking  med, but didn't have this after first tear. Did have a dull throbbing pain most of the day yesterday too, but I figured this was normal. Yesterday was my worse day in about a week, however.  The first go around, about 3 months ago, just about every time I got up for about 2 weeks was agonizing. Haven't had that happen this time around. I guess in retrospect, this pales by comparison.

I guess the things that strikes me as odd is that I've had very few similar symptoms between the two recoveries. Biggest difference is this time I'm in a full length splint and last time I was in those locking braces. Quite frankly, I never got anything close to comfortable in any of those braces. I had 3 different ones over the course of a month. I was constantly trying to adjust them as they always kept moving. This splint, which goes from my toes to upper leg, is cumbersome to say the least but for the most part comfortable.

Until the next time.......

Offline Chiropractor2001

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Re: Ruptured Quadriceps Tendon
« Reply #1223 on: January 14, 2017, 03:20:18 PM »
Hi Barrjoe
Sorry to hear that... just hang in there .. things do get better... as you know. If I may suggest, try to get some laser therapy on the tissue.  ( true laser.. theralase is a good one) there are good evidence that other speeds up the recovery process by stimulating the tissue. So more blood flow and less bad inflammation. Again .. take it easy. ..

Offline Barrjoe

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Re: Ruptured Quadriceps Tendon
« Reply #1224 on: January 14, 2017, 04:05:37 PM »
Never heard of laser therapy. At least not by that name. Will keep that in mind. Thanks!

Offline destroyedbothtendons

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Re: Ruptured Quadriceps Tendon
« Reply #1225 on: January 18, 2017, 10:11:53 PM »
Barrjoe,

Did you completely re-rupture the tendon?  That would be a yikes.  The center section on my left leg (I did the double) never healed properly and needed to be operated on again but it wasn't the whole tendon this time.  Per the surgeon he was able to use what was still left in my leg and re-attach it.

That 2nd surgery was 22 months ago.  I can bowl (American), golf and walk without any real issues. Carrying things down stairs is still a little scary and this is also true when I am really fatigued.  Upstairs is mostly fine though this can also be difficult if I am carrying significant weight.

I cannot run.  I cannot spend a lot of times on my knees due to soreness. 

Good Luck and be patient. 

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

Offline Barrjoe

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Re: Ruptured Quadriceps Tendon
« Reply #1226 on: January 19, 2017, 12:40:44 AM »
Honestly don't know what I did the second time. Have yet to talk to the surgeon. Quite frankly, I'm still pretty naive to the anatomy of the quad area. Have learned more the last couple of weeks than I ever knew before. Only think I know for sure is the second time swelled up enormously almost instantly as opposed to the first time when it didn't swell much at all. The other thing is I didn't have the instability the second time as opposed to the first. First time I did it it scared the hell out of me and this time disbelief would be a better description,

Hope that helps. Thanks.

Offline TurboCoder3000

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Re: Ruptured Quadriceps Tendon
« Reply #1227 on: January 19, 2017, 01:38:57 AM »
Hey everyone!!!!

I am so excited to report that this thing is almost over for me. It has been an extra long haul - I've been keeping my knee straight for four months due to necrotic skin as most of you know. 11/22, the necrotic skin was cut off completely. I am nicely healing now and should be healed up completely by the end of next week (give or take 1 or 2 wound care appointments).

My surgeon wants me to start physical therapy and, in tandem with advice from a plastic surgeon doesn't think that it will cause anything to happen to my wound. Gonna be starting physical therapy soon and finally going to bend my knee for the first time since August 28th when my injury began.

https://www.screencast.com/t/3W3ZDiG2nSwJ


Offline Barrjoe

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Re: Ruptured Quadriceps Tendon
« Reply #1228 on: January 20, 2017, 10:47:23 PM »
Had 1st follow up,couple of days ago. Staples out (18 of them, a new personal best!), went from a splint to a cylinder cast.   No weight bearing. The cast,,is allready close to the point of being ineffective. It must have dropped 3 inches in 2 days. Going in Tuesday for them to change it. Had the same problem with the different braces being ill-fitting as well. I ain't gonna put up with this one for a month.

The incision healed real well. The nurse who took the staples out was in training and very gentle. God love her. About 20 years ago I had some removed from my calf by an older nurse and that was worse than the injury.

Feel a little more upbeat. Was kinda depressed but a buddy of mine who is an amputee stopped over last nite and it put things in perspective. That, and my beloved Packers are in the NFC tittle game!

Until the next time......

Offline Stuart Rulka

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Re: Ruptured Quadriceps Tendon
« Reply #1229 on: January 20, 2017, 11:40:59 PM »
Barr joke, glad things are going better for you. Thanks also for helping us all to keep things in perspective. Ours is a life changing injury, but not to the degree others have to endure.
Chiropractor2001, do you have an explanation for the " no weight bearing" at this point? There can't be excessive inflammation or surely they wouldn't be casting it. No weight bearing means less mobility leading to more atrophy!
Stuart Rulka
Complete RQT Aug2 2013
Surgery Aug3 2013
Resumed work Aug6 2013