Quadriceps tendon partial tear

Case contributed by Roberto Schubert
Diagnosis almost certain

Presentation

Received a blow against the knee 5 weeks ago. Persistent pain on extension and when rising from a chair.

The tendon at the patellar base is thickened and shows increased signal, especially on T1-weighted images. Wavy anterior contours of the tendon. T2-hyperintense peritendinous edema or residual hematoma.

Case Discussion

The findings suggest a non-acute partial rupture with scar tissue formation within the tendon.

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