Evidence map›Paper›PMID 32693777›Full record

ArticleBMC musculoskeletal disorders2020

Bilateral patellar tendon rupture on lupus undergoing corticosteroids: a case report.

Zakaria El Ouali, Kawtar Nassar, Elie Bassa, Reda Taoussi, Mouna Sabiri, Mohamed Rafai, Saadia Janani

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Zakaria El OualiDepartment of Rheumatology, University Hospital of Ibn Rochd, Casablanca (Morocco), 72 rue Abou Dabi, Oasis, 20410, Casablanca, Morocco. dr.elouali.zakaria@gmail.com.ORCID https://orcid.org/0000-0002-4997-6464
Kawtar NassarDepartment of Rheumatology, University Hospital of Ibn Rochd, Casablanca (Morocco), 72 rue Abou Dabi, Oasis, 20410, Casablanca, Morocco.
Elie BassaDepartment of Rheumatology, University Hospital of Ibn Rochd, Casablanca (Morocco), 72 rue Abou Dabi, Oasis, 20410, Casablanca, Morocco.
Reda TaoussiDepartment of Central Radiology, University Hospital of Ibn Rochd, Casablanca, Morocco.
Mouna SabiriDepartment of Central Radiology, University Hospital of Ibn Rochd, Casablanca, Morocco.
Mohamed RafaiDepartment of Traumatology and Orthopedics P32, University Hospital of Ibn Rochd, Casablanca, Morocco.
Saadia JananiDepartment of Rheumatology, University Hospital of Ibn Rochd, Casablanca (Morocco), 72 rue Abou Dabi, Oasis, 20410, Casablanca, Morocco.
Centre Hospitalier Universitaire Ibn Rochd · MAHôpital 20 Août · MA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatellar tendon rupture is a rare condition, especially when it is bilateral. The most frequent associated pathologies are systemic lupus erythematosus, chronic renal failure, or treatments like corticosteroids. The aim of this case report is to draw attention to the non-specific clinical aspect of this condition, to recall its radiological signs, and highlight the diagnostic contribution of musculoskeletal ultrasound. CASE PRESENTATION: A 39-year-old man was diagnosed with a systemic lupus erythematosus with cutaneous, pulmonary, cardiac, hematological, renal, and immunological manifestations. He was treated with high-dose corticosteroids. Within 3 months he presented with a total functional impotence of the knees. On physical examination, there was a gap in the right infrapatellar region, his patellae were abnormally ascended, and his left knee was swollen. Insall-Salvati ratio on knees conventional radiographies was 2.5 in the right and 2.25 in the left knee, assessing bilateral patella alta. Ultrasound revealed a complete and bilateral patellar tendon rupture. The treatment consisted in a surgical repair and physiotherapy. The patient was able to mobilize independently after 6 months.

conclusionsBilateral patellar tendon rupture is exceptional. Systemic lupus erythematosus and corticosteroids are among trigger factors. Careful examination of the patellae should be done in front of knee extension deficit. Ultrasound plays a determining role in the diagnosis.

Indexed as

Lupus Erythematosus, SystemicPatellar LigamentTendon InjuriesAdrenal Cortex HormonesAdultHumansMalePatellaRuptureAdrenal Cortex HormonesCase reportCorticosteroidsPatella AltaSystemic lupus ErythematosusTendon ruptureUltrasound

Identifiers

PMID32693777
PMCPMC7372875
OpenAlexW3045447898

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.