Steve,
I have seen a couple of these and like you, was surprised at lack of
bleeding and pain. Both cases were in elderly men who tripped/stumbled and
? asynchronously fired off their quads and felt "something go", presenting
with signs and symptoms as you describe. In the end if it looks like a
duck, walks like a duck and sounds like a duck,then.....it must be a quads
tendon tear.
As Eric suggests I'd have your patient off to a good ultrasonographer to
confirm the diagnosis
Matt
At 09:43 26/07/98 +1200, you wrote:
>Dear Steve
>
>At 19:40 24/07/98 EDT, you wrote:
>>It still is the most logical, it is the lack of pain and other physcial
signs
>>that throws me. I have seen college athletes roll on the field for much
>less.
We all know male high level athletes can be absolute babies, don't we?
>
>I have had two patients with this diagnosis and both never had any visuable
>contusion/haematoma post injury. One was in a 13 year old girl and the
>other a 40 year old body builder. The both experienced sudden and dramatic
>loss of control and strength of their quads. The later said his went off
>(sounded like)like a gun shot!!
>
>
>A Ultrasound scan should quickly confirm the diagnosis.
>
>Hope this may be of help.
>
>Cheers
>********************************************
>Erik Dombroski, Clinical Educator, School of Physiotherapy
>Auckland Institute of Technology, New Zealand
>E-Mail: [log in to unmask]
>URL: www.ait.ac.nz/depts/physio
>"Education is a person's going forth from cocksure ignorance to
>thoughtful uncertainty." Don Clark
>**********************************
>
>
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