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Spontaneous, bilateral, quadriceps tendon rupture caused by local exposure to methidathion

Year: 2009

Type: article

Abstract: Spontaneous, bilateral, quadriceps tendon rupture is a rare injury. Many predisposing conditions have been reported that contribute to quadriceps tendon degeneration. We report a case of a 42-year-old farmer with spontaneous, bilateral, quadriceps tendon rupture and clear medical history. Clinical and laboratory investigations revealed no risk factors for tendon degeneration but the patient reported that he was exposed locally to methidathion 1 week before the rupture. Methidathion is an organophosphate insecticide commonly used in agriculture that is highly toxic via the dermal route. Methidathion induces lipid pre-oxidation and consequently alters quadriceps tendon blood supply and ultrastructure. The injury was treated with early surgical repair and final outcome was excellent 44 months postoperatively.

Source: BMJ Case Reports

DOI: 10.1136/bcr.09.2009.2256

Authors: Stergios G Papastergiou, Nikolaos E Koukoulias, Evangelos Ziogas, Theofilos Dimitriadis, Panagiotis Koumis

Institution: Agios Pavlos General Hospital

Language: English

Topic: Tendon Structure and Treatment

Subfield: Orthopedics and Sports Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W2166000677

FWCI: 0.37

Cites: 14

Cited by: 1

Related to: 10