Knee Surg Relat Res.  2018 Sep;30(3):269-272. 10.5792/ksrr.17.072.

Non-Operative Rehabilitation of Isolated Popliteus Tendon Rupture in a Rugby Player

• Koong DP
• An VV
• Lorentzos
• Moussa P
• Sivakumar

• KMID: 2420354
• DOI: http://doi.org/10.5792/ksrr.17.072

Abstract

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.

Keyword

Knee; Popliteus tendon; Injury; Rehabilitation

MeSH Terms

Exercise
Football*
Humans
Knee
Magnetic Resonance Imaging
Physical Examination
Rehabilitation*
Rupture*
Seasons
Tendons*
Young Adult