case_images: PMC9996298_01
case_images: (A) x-ray of the right knee taken at the initial consultation showing severe osteoporosis. (B) Lateral radiograph showing the patella baja and calcification in the ruptured end of the QT (arrow). (C) Lateral T2-weighted MRI of the right knee showing a complete disruption of the QT at the patellar insertion sites. (D) The QT peel off from the upper pole of the patella. (E,F) Radiography after QT repair showing the regular positioning of the patella. (G,H) Radiography one year after PTX showed BMD had significantly increase compared to pre-PTX levels. (I,J) One year after PTX, the ROM of the right knee was 0-130  and in the left knee was 0-140 . (K) The patient undergoing IMS tests.
case_images: fsurg-10-961188-g002.jpg
case_images: PMC9996298_01_fsurg-10-961188-g002.jpg
case_images: F2
case_images: The patient was also seen to have severe osteoporosis (Figures 2A,B). MRI revealed a complete disruption of the quadriceps tendon at the patellar insertion sites (Figure 2C). One week after the injury, the patient underwent surgery during which an avulsion-like rupture at the osteotendinous junction was found (Figure 2D). Postoperative radiography showed that the patella height had returned to normal (Figures 2E,F). IV/V. IMS tests (Figure 2K) showed the strength of extension and flexion on the operated side had decreased compared to the normal side (Table 5). The height of the patient increased by 4 cm without obvious bone pain and movement dysfunction. x-ray imaging of the knee (Figures 2G,H) and BMD examination revealed a significant increase in BMD compared to pre-PTX levels (Table 5).
case_images: (A) 99mTc-MIBI dual-phase planar imaging. The early phase (15 min) planar images showed MIBI uptake in the inferior pole of the right thyroid lobe. (B) The delayed phase (2 h) planar images showed MIBI uptake in the inferior and upper pole of the bilateral thyroid lobes. (C) 99mTc-MIBI SPECT/CT imaging showing small soft-tissue masses with MIBI uptake in the back of the inferior Poles of both bilateral thyroid lobes.
case_images: fsurg-10-961188-g003.jpg
case_images: PMC9996298_01_fsurg-10-961188-g003.jpg
case_images: F3
case_images: Examinations showed an abnormal increase of 352.60 pg/ml in iPTH. 99mTc-MIBI dual-phase planar imaging showed MIBI uptake in the inferior pole of the right thyroid lobe in the early phase (15 min) (Figure 3A), and the inferior and upper pole of the bilateral thyroid lobes in the delayed phase (2 h) (Figure 3B). 99mTc-MIBI SPECT/CT imaging showed small soft-tissue masses with MIBI uptake in the back of the inferior poles of both bilateral thyroid lobes (Figure 3C).