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Tendon Tear
Posted By: David Mangusan Jr., PTRP
Quadriceps tendon tear happens when the large tendon located just above the kneecap is partially or completely
torn. A tendon is a strong cord of tissue connecting a muscle to a bone. The tendon connecting your front thigh
muscles (quadriceps) is called the quadriceps tendon. This condition is also called quadriceps tendon rupture or torn
quadriceps tendon.
Causes
Quadriceps tendon tear can happen in sports activities that require the athlete to jump, run or kick. Sometimes,
improper weight lifting technique or lifting too much weight beyond the quadriceps tendon can take may result in
tearing of the tendon. Certain conditions and medications may result in weakness of the quadriceps tendon, which
may put the person at risk for getting quadriceps tendon rupture.
Symptoms
Symptoms of a ruptured quadriceps tendon can vary depending on the severity of the injury. You may experience
Pain at the site of tear
Swelling
Tenderness just above your kneecap
Bruising, a few hours following your injury
Sagging or drooping of your kneecap
Difficulty straightening your knee
Difficulty walking
Muscle weakness
Some people who experience tearing of their quadriceps tendon report that they felt a tearing or popping sensation
at the time of their injury.
If you experience severe pain, your symptoms worsen, or are unsure of the severity of your injury, don’t hesitate to
consult your doctor for proper diagnosis and treatment.
Treatments
The type of treatment that you receive will depend on the severity of your injury. Your doctor may recommend that
you be immobilized with a knee brace to allow healing. In addition, your doctor may require you to use crutches to
avoid putting added stress to your injured limb.
Your doctor may recommend that you undergo physiotherapy after your symptoms have subsided. Your
physiotherapist will help you increase your knee joint range of motion (ROM), improve your muscle strength and
your overall fitness.
Your doctor may recommend surgery to repair your damaged quadriceps tendon, especially if the tear is so severe.
Physiotherapy treatments that you receive depend on the specific problems that you have and your particular goals.
Your physiotherapist may decide to provide you a combination of the following treatments
Cold or Heat therapy
o When is Ice Used for a Sports Injury?
o When is Heat Used for a Sports Injury?
TENS (transcutaneous electrical nerve stimulation)
Ultrasound
Soft tissue mobilization (massage)
Joint mobilization
Stretching
Physiotherapy exercises
o Range of motion exercises
Passive range of motion (PROM) exercises
Active- assistive range of motion (AAROM) exercises
Active range of motion (AROM) exercises
o Gradual quadriceps strengthening exercises
Isometric exercises (quadriceps setting)
Straight leg raising (SLR)
Weight training
Recommend crutches or other walking aids
Gait or walking training
Patient education
o About quadriceps tendon tear
o Precautions to observe
o Injury prevention
Work or sport-specific rehabilitation program
Your physiotherapist will also provide you with a home management and exercise program that you can do at home.
The type of treatments and physiotherapy program that you receive will depend on your stage of recovery.