LETTERS TO THE EDITOR Jan Vacek, MD tendon tears after a fall from standing Bilateral Patellar Tendon Department of Rehabilitation Medicine position,” and we would like to thank our Tears After a Fall From Faculty Hospital Královské Vinohrady colleagues for their interest in this subject. Standing Position: Charles University in Prague A similar case of bilateral quadri- Prague, Czech Republic Do You Mind Systemic ceps tendon rupture after statin use has Diseases and Medications? been previously described. This may Leoš Navrátil, MD cause tendon degeneration by altering col- Department of Health Care Disciplines lagen synthesis, resulting in sclerosis or fi- To the Editor: and Population Protection brosis in the tendon, fatty degeneration, Faculty of Biomedical Engineering e read with great interest the article decreased tendon collagen composition, Czech Technical University in Prague W by Tsur et al. entitled “Bilateral necrosis, or calcification. Kladno, Czech Republic patellar tendon tears after a fall from The patient described in our article standing position.” The article describes had no other systemic disease except a case of bilateral patellar tendon rup- Levent Özçakar, MD morbid obesity, and he did not use statins ture after a minor trauma verified by Department of Physical on or before admission. performing magnetic resonance imag- and Rehabilitation Medicine Hacettepe University Medical School ing. However, we miss the information Zemin Kat FTR AD about the medical history of the patient Atzmon Tsur, MD Sıhhıye, Ankara, Turkey because bilateral quadriceps tendon rup- Rehabilitation Department tures are highly correlated with systemic Galilee Medical Center DOI: 10.1097/PHM.0000000000000795 Nahariya, Israel disease. We recently published a case and Faculty of Medicine of bilateral rectus femoris muscle rupture REFERENCES Bar-Ilan University associated with statin treatment. Statins Safed, Israel 1. Tsur A, Deeb M, Shakeer N, et al: Bilateral patellar tendon (3-hydroxy-3-methylglutaryl-coenzyme tears after a fall from standing position. Am J Phys Med A reductase inhibitors) are commonly Rehabil 2017;96:e213 used for the prevention and treatment 2. Lyle JE: Quadriceps tendon rupture. eMedicine. Ho SSW (ed): March 2, 2015. Medscape. Available at: of atherosclerotic vascular disease. Apart Marina Deeb, MD http://emedicine.medscape.com/article/1249621-overview. from others (nervous, gastrointestinal, Nael Shakeer, MD Accessed March 5, 2017 etc), one important adverse effect is 3. Mezian K, Vacek J, Navrátil L, et al: Bilateral rectus Rehabilitation Department femoris muscle rupture following statin medication. Am J related to muscle toxicity, which can Galilee Medical Center Phys Med Rehabil 2017;96:e138 manifest as tendinitis, tendinopathy, ten- Nahariya, Israel 4. Marie I, Delafenêtre H, Massy N, et al: Tendinous disorders don rupture, muscle pain, myositis, myop- attributed to statins: a study on ninety-six spontaneous athy, or rhabdomyolysis. Tendon rupture reports in the period 1990–2005 and review of the literature. Arthritis Rheum 2008;59:367–72 associated with statin therapy may be re- 5. Pullatt RC, Gadarla MR, Karas RH, et al: Tendon rupture Norman Loberant, MD lated to inhibitory effects of statins on ma- associated with simvastatin/ezetimibe therapy. Am J Cardiol Department of Radiology trix metalloproteinase activity as well as 2007;100:152–3 Galilee Medical Center 6. de Oliveira LP, Vieira CP, Guerra FD, et al: Structural and reduction and disorganization of collagen Nahariya, Israel 5,6 biomechanical changes in the Achilles tendon after chronic type I in tendons. As such, we sug- and Faculty of Medicine treatment with statins. Food Chem Toxicol 2015;77:50–7 gest that physicians should be aware Bar-Ilan University Safed, Israel of relevant systemic diseases and/or med- Bilateral Patellar Tendons ications while they question the back- Tears After a Fall From ground of (particularly bilateral) tendon DOI: 10.1097/PHM.0000000000000794 ruptures. Standing Position REFERENCES Kamal Mezian, MD 1. Nesselroade RD, Nickels LC: Ultrasound diagnosis of Department of Health Care Disciplines bilateral quadriceps tendon rupture after statin use. West J To the Editor: and Population Protection Emerg Med 2010;11:306–9 e received the “Letter to the Editor” Faculty of Biomedical Engineering 2. Chiu M, Forman ES: Bilateral quadriceps tendon rupture: a W in response to our recently pub- Czech Technical University in Prague rare finding in a healthy man after minimal trauma. Kladno, Czech Republic lished article entitled “Bilateral patellar Orthopedics 2010;33 American Journal of Physical Medicine & Rehabilitation � Volume 97, Number 3, March 2018 www.ajpmr.com e17 Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
American Journal of Physical Medicine & Rehabilitation – Wolters Kluwer Health
Published: Jan 1, 2018
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