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Knee · Tendon rupture

Quadriceps Tendon Tear

Diagnosis & treatment by Kevin O'Donnell, MD — Coral Gables, FL

Overview

The quadriceps tendon connects the thigh muscle to the top of the kneecap and straightens the knee. A tear, usually from a fall or forceful load on a bent knee and more common after age 40, disrupts the extensor mechanism and, when complete, requires prompt surgical repair to restore the ability to straighten the leg.

Common Symptoms

  • A pop and sudden pain above the kneecap
  • Inability to straighten the knee or a leg that gives way
  • Swelling and a palpable gap above the kneecap
  • Difficulty walking or bearing weight

Causes & Risk Factors

  • A fall or stumble with the knee bent
  • A forceful load on a bent knee
  • Tendon weakening with age or medical conditions

Treatment Options

  • Non-operative care only for partial tears with intact function
  • Prompt surgical repair of the tendon to the kneecap
  • A protected brace-and-rehabilitation program
  • Physical therapy to restore motion and strength

Recovery & What to Expect

Complete tears are repaired and protected in a brace, with a graduated program restoring motion and strength and return to full activity over 4-6 months.

This page is for general education and is not a substitute for a medical evaluation. Treatment recommendations depend on your individual diagnosis and goals. Kevin O'Donnell, MD serves Coral Gables, Miami, Brickell, Pinecrest, Coconut Grove.