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KMID : 1144520180300030269
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Knee Surgery & Related Research
2018 Volume.30 No. 3 p.269 ~ p.272
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Non-Operative Rehabilitation of Isolated Popliteus Tendon Rupture in a Rugby Player
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Koong Denis Pak-Han
An Vincent Vinh Gia
Lorentzos Peter
Moussa Peter
Sivakumar Brahman Shankar
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Abstract
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Isolated rupture of the popliteus tendon is uncommon; instead, it is often seen as part of multi-ligamentous posterolateral corner injuries. In this report, we present a case of a 22-year-old professional rugby player who sustained a lateral blow to his semi-flexed knee in a tackle during a competitive game. A complete popliteus tendon rupture at its musculo-tendinous junction was diagnosed on magnetic resonance imaging despite a relatively unremarkable physical examination. The aims of this report are to highlight the diagnostic challenges with this rare injury as physical signs are often subtle and non-specific. Furthermore, we demonstrate the viability of conservative management in the setting of a direct contact mechanism. Indeed, our patient was successfully treated with a specific rehabilitation protocol via isometric quadriceps contractions, gastrocnemius-soleus and hamstring strengthening exercises and graded activity with successful return to full contact activities at 4 weeks and regular season matches shortly after.
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KEYWORD
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Knee, Popliteus tendon, Injury, Rehabilitation
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