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Knee Surg Relat Res. 2018 Sep;30(3):269-272. English. Case Report.
Koong DP , An VV , Lorentzos P , Moussa P , Sivakumar BS .
Department of Orthopaedic Surgery, Royal North Shore Hospital, Sydney, Australia.
Sydney Medical School, University of Sydney, Sydney, Australia.
Wests Tigers Rugby League Football Club, Sydney, Australia.

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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