From the Research
Yes, there are diseases associated with recurrent tendon ruptures, most notably Ehlers-Danlos syndrome (EDS), which affects collagen production and makes tendons and ligaments weaker and more prone to rupture. According to the most recent and highest quality study available, 1, EDS is a significant risk factor for recurrent tendon ruptures, with a reported case of bilateral spontaneous patellar tendon ruptures in an adult patient with EDS. This study highlights the importance of early diagnosis and careful management of patients with EDS to prevent future tendon injuries.
Key Points
- Ehlers-Danlos syndrome (EDS) is a genetic connective tissue disorder that affects collagen production and increases the risk of recurrent tendon ruptures.
- Other conditions that can cause recurrent tendon ruptures include rheumatoid arthritis, systemic lupus erythematosus, diabetes mellitus, chronic kidney disease, and long-term corticosteroid use.
- Management of recurrent tendon ruptures typically involves careful surgical repair when needed, physical therapy to strengthen surrounding muscles, and sometimes bracing or orthotics for support.
- For EDS specifically, there's no cure, but treatment focuses on symptom management, injury prevention, and physical therapy, with genetic counseling recommended for family planning.
Evidence-Based Recommendations
- Early diagnosis of EDS and other conditions that increase the risk of recurrent tendon ruptures is crucial to prevent future tendon injuries and improve quality of life.
- A multidisciplinary team approach to management, including orthopedic surgeons, physical therapists, and genetic counselors, is recommended for patients with EDS and recurrent tendon ruptures.
- Patients with EDS should be advised to avoid high-impact activities and to engage in regular physical therapy to strengthen surrounding muscles and improve joint stability, as reported in 2.