{"id":4354,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/quadsandpatellatendonrupture\/"},"modified":"2026-01-07T15:21:44","modified_gmt":"2026-01-07T15:21:44","slug":"quadsandpatellatendonrupture","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/kneetraumaticevent\/quadsandpatellatendonrupture\/","title":{"rendered":"Quads or Patella Tendon Rupture"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">History<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>History of fall with hyper-flexion of knee<\/li>\n\n\n\n<li>Not necessarily painful after event<\/li>\n\n\n\n<li>Swelling<\/li>\n\n\n\n<li>Bruising<\/li>\n\n\n\n<li>Abnormal patella position \u2013 high or low<\/li>\n\n\n\n<li>Unable to straighten leg actively<\/li>\n\n\n\n<li>Quads dysfunction<\/li>\n\n\n\n<li>Difficulty with stairs<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Signs<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Limp<\/li>\n\n\n\n<li>Swelling<\/li>\n\n\n\n<li>Deformity \u2013 possible divot in distal quads\/defect below patella<\/li>\n\n\n\n<li>Bruising<\/li>\n\n\n\n<li>Unable to straight leg raise<\/li>\n<\/ul>\n\n\n\n<p><strong>M.A. &amp; J.G. 23-05-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">Secondary care referral<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urgent referral &#8211; may need urgent surgical repair<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">How to Refer<\/h3>\n\n\n\n<p>SCI gateway &gt;Lauriston Buildings &gt; Orthopaedics \u2013 Knee &gt; LI Non-Arthroplasty Knee<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">Primary care investigations<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X-Ray &#8211; A-P and lateral of both knees for comparison of patella position<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.sign.ac.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Intercollegiate Guidelines Network (SIGN)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.versusarthritis.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Arthritisresearchuk.org<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>History Signs M.A. &amp; J.G. 23-05-24<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4075,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[416],"class_list":["post-4354","page","type-page","status-publish","hentry","category-quadsandpatellatendonrupture"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/orthopaedics\/knee\/kneetraumaticevent\/quadsandpatellatendonrupture\/\" rel=\"tag\">Quads and Patella Tendon Rupture<\/a>","rttpg_excerpt":"History Signs M.A. &amp; J.G. 23-05-24","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4354"}],"version-history":[{"count":9,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4354\/revisions"}],"predecessor-version":[{"id":26118,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4354\/revisions\/26118"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4075"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}