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A person may need surgery if they experience a deep cut or tear to one or more of their tendons. Case reports and non-clinical studies were excluded. Patellar tendonitis treatment, exercises, symptoms, and all else you need to know. 1769 0 obj <>stream Can bathe on the 2nd day after surgery (do not scrub, soak, or submerge the . In fact, in some instances, you could be charged with "driving under the influence of drugs" (DUID) if you're pulled over by the police and have been using opioids. Surgery generally takes between one and two hours. Numbness or tingling in your fingers or hand. Post-operative fractures of the right knee, ankle, thigh, or calf bone: Patients could reasonably return to driving after six weeks of weight-bearing therapy. This technique is the screw fixation technique. Joints. (https://pubmed.ncbi.nlm.nih.gov/32368749/). Although quadriceps tears or strains are not common, this injury can make it difficult to walk or participate in day-to-day activities. A (reluctant) two-timer quadriceps tendon rupture, Bilateral Quadriceps Tendon Repair Gets Patient Jogging Again, Getting back to skiing after a Quadriceps Tendon Tear. [Effectiveness of a suture bridge technique for repair of quadriceps tendon rupture in uraemic patients]. These muscles extend the legs at the knee and are important for standing, walking, and almost all activities involving the legs. hTn {bD)85b'=k)q 2>e)3sXA. What is a bilateral quadriceps tendon rupture? Would you like email updates of new search results? Dont take Viagra or other medication for erectile dysfunction for at least 24 hours before surgery. Quadriceps Tendon Tear - OrthoInfo - AAOS 0 Tendons also help protect joints from damage. endobj after your surgery. There are bruises or swelling from your upper arm to your elbow. The methodological quality of the included studies was assessed using the Coleman Methodology Score. My vehicle was a 2001 Nissan Xterra. Cast extending above the left elbow: This added 22.2 seconds to response time. Common reasons for tendon repair surgery. A splint or similar dressing can reduce tension while the tendon heals. If the strained quad is severe, it may require four to eight weeks to achieve full recovery. There are a number of factors you need to consider when determining if it's safe to start driving after surgery. Journal of PeriAnesthesia Nursing. Strengthening exercises to help you rebuild tendon strength and avoid future injuries. Y:ATW ; TUn(NJ)Z} DJ vhh|^.7GR4T( 8x\xy?T ~*d'"y1Hr%6.Q9q'w8>XeIp Torn Quad Surgery Typically surgery involves making an incision on the front of the knee. I sat higher which straightened out my leg and I was now able to drive without any issues. Cleveland Clinic is a non-profit academic medical center. Cardiovascular health: Insomnia linked to greater risk of heart attack. Tendons are tough, stretchy tissues that join muscles to bone. I also realized that I needed my butt to be lifted a little bit higher so my leg could remain straight without it being an issue to drive and also so it wouldnt be painful. Keep using ice as long as it helps. The only way to legally confirm that you're capable of driving is to take a test with an appropriately trained licensing authority. Driving after quad tendon surgery is the question that will come up. Torn Patellar Tendon: The Regular Guy's Guide to Healing - WebMD Spontaneous ruptures were reported in 3.2% of cases. You play sports like baseball, swimming or tennis where your arms move and reach overhead. endobj 2014 May;42(2):114-8. doi: 10.3810/psm.2014.05.2063. A person should not begin doing the exercises until a doctor says it is safe to do so. Your surgeon cuts into the area where the top of your biceps tendon connects to your labrum. 2010 Dec;39(12):1127-34. doi: 10.1007/s00132-010-1690-5. After Quadriceps Tendon Repair Rehabilitation Protocol Phase One- Maximum Protection (Weeks 0-6) 0 to 2 weeks Brace locked in full extension for 6 weeks FULL weight bearing in Splint Ice and modalities to reduce pain and inflammation Aggressive patella mobility Range of motion 0 degrees to 30 degrees flexion Weeks 2 to 4 [Quadriceps and patellar tendon ruptures]. Calcific tendonitis is a condition where deposits of calcium build up in a tendon or muscle, which can lead to pain and reduced movement. 24 0 obj You may be able to drive if the surgery was on your left leg, your car has an automatic transmission, and you arent taking narcotic drugs for pain. The aim of the current review is to investigate the characteristics, the different techniques employed and to analyse the clinical outcomes following surgical repair of quadriceps tendon rupture. This MNT, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. The one main hurdle I had was that with my internet business I needed to go to the post office to drop off my orders and I had to do this several times a week if not daily. A person with a grade 1 injury will likely recover within 12 weeks if they rest the muscle as much as possible. Tears can be complete or partial. After 6 weeks, your leg should be able to handle your full body weight. Tendon repair surgeries are usually straightforward but come with some minor risks. Tumescent local anesthesia for hand surgery: Improved results, cost effectiveness, and wide-awake patient satisfaction. Patients are able to walk on the leg right away, but will have limitations on the amount of knee flexion for 1-2 months. Quadriceps muscular atrophy and muscle strength deficit were present in most of the cases. Younger, athletic people may be able to properly heal and complete rehab in five to eight months, but older people or people with a history of knee injuries may need up to a maximum of 18 months of rehab. How long does it take the patellar tendon to heal after ACL surgery? An official website of the United States government. This type of tendon damage may be called biceps tendonitis. <> Healing can take up to 12 weeks. Regain knee motion, begin Continuous passive motion machine 3. 59 0 obj Pain that doesn't go away when you take your pain medicine. This was a question I had immediately after my first quad tear surgery. endobj After taking any sedative medication, you shouldn't drive for at least 24 hours. endobj Almost all patients are off crutches within 4 weeks of surgery. Quadriceps tendinitis exercises. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams. How Long After Quadriceps Tendon Repair Surgery. Careers. Biceps tenodesis is done by detaching your biceps tendon from your labrum and moving the tendon to your upper arm bone (humerus). How long after quad tendon surgery can you drive? If this is the case, the surgeon will graft an extra piece of tendon between the ends to make them meet. MNT is the registered trade mark of Healthline Media. */k~;+{a'{}tfGTHd[k >O[iwq$fy9{~0 7 Your doctor should also advise you about whether driving is safe while taking any prescription medication. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Chronic Quadriceps Tendon Ruptures: Primary Repair of Quadriceps Via Bioaugmentation and Patellar Tendon Lengthening. This movement should start as soon as you are comfortable, on the day of surgery. Ariyan, S., Martin, J., Lal, A., Cheng, D., Borah, G. L., Chung, K. C., Young, V. L. (2015, June). <> As a result, you might need to take off work or ask for help with everyday activities. This is usually around 2 weeks post-op. The aims of tendon repair surgery are: Before surgery for tendon repair, doctors will explain the procedure and provide anesthesia, which will prevent the person from feeling any pain. Quadriceps Repair and Patellar Tendon Tear Surgery | Hoag Orthopedic Below-the-elbow casts on the left arm: This added an average of 16.2 seconds to driving response time. This was a question I had immediately after my first quad tear surgery. The following steps occur during most tendon repair operations: The tendon may be too short for the surgeon to sew it back together as it is. No range of motion until 2 weeks, at 2 to 4 weeks 0 to 20 degrees. of the tibia (shin bone) just below the front of the knee. Rates of subsequent shoulder surgery within three years for patients undergoing SLAP repair versus biceps tenodesis. Several reinforcement techniques were employed in case of poor quality or retraction of the torn ends of tendon. Continued Stretching and flexibility exercises to help the tendon heal completely and avoid long-term pain. In the biceps tenodesis procedure, your surgeon releases your torn biceps tendon from your labrum. 2018;06(04):232-240. doi:10.1055/s-0039-1678562, Summerlin-Grady L, Austin PN, Gabaldon DA. Driving restrictions may also be necessary while taking prescription opioids after a surgery. When I incurred my injury in 2007 I had landed a job a few days prior to the accident. As with braces, pain can cause you to move more slowly, which increases the risk of having an accident. This will be done in clinic by Mr Gordon. However, despite what some people might tell you, you don't need an official medical "clearance" nor "release" to drive a car. The quad tendon is part of the extensor mechanism of the knee that includes the quadriceps muscle, the quad tendon, the kneecap (patella) and the patellar tendon. Symptoms of a quadriceps tear or strain may include: Pain. stream Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. This article explains factors that affect when you can drive again after certain types of orthopedic surgeries and steps to recovery. Tendons are strong bands of tissue that attach muscles to bones. Functional results following surgical repair of simultaneous bilateral quadriceps tendon ruptures. (2013). Nonsurgical treatment RICE. Results. It may also be necessary if you're permanently impaired and need to confirm that this injury won't affect your ability to drive. No weight is needed on the foot during the first 2 weeks after surgery. (2015, September). 1743 0 obj <> endobj Braces: With an Patellar Tendon Repair procedure you will be placed in a hinged knee brace. Driving . Traditional repair involves transosseous sutures tied over bone bridges on the inferior pole of the patella. The muscles that form the quadriceps femoris unite proximal to the knee and attach to the patella via the quadriceps tendon. They are poorly protected by fat and therefore prone to injury. This tendon is located at the top of your bicep muscle. Your surgeons close the tiny cuts in your shoulder. While a robust tendon a good source for an ACL autograft the quadriceps tendon hasn't been used or researched as much as other graft sources. Maffulli, G., Del Buono, A., Richards, P., Oliva, F., & Maffulli, N. (2017, January). Tendon injuries are relatively common and often require surgery to repair them. The quadriceps tendon is the tendon that extends from the quadriceps muscle of the thigh to the top of the patella (kneecap). [3 sets of 15 reps as tolerated] . You'll wear a brace and do physical therapy for 3 to 6 weeks while the tendon heals. 2017;32(5):464-471. doi:0.1016/j.jopan.2016.01.005, Pollard A, Marr R. Driving advice after isoflurane anaesthesia. This is done with a tendon taken from another place in your foot. This site needs JavaScript to work properly. 3 0 obj Injury. They use small surgical tools to cut your biceps tendon from your labrum. . Return to driving after hand surgey - Mike Hayton 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. Treatment for Quadriceps Tendon Rupture (QTR) Conservative Treatment Steps for Quadriceps Tendon Rupture (QTR) RICE (Rest, Ice, Compression, Elevation) technique should be applied immediately on sustaining quadriceps tendon rupture. In turn, the patella is attached to the tibia by the patella ligament. Apply ice or cold packs for 10 to 15 minutes at a time, as often as 2 times an hour, for the first 72 hours. Youll need to wear an arm sling for four to six weeks after your surgery. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. It can take up to four to six months to recover from biceps tenodesis surgery. MacKenzie JS, Bitzer AM, Familiari F, Papalia R, McFarland EG. There are a number of factors you need to consider when determining if it's safe to start driving after surgery. Can diet help improve depression symptoms? <> Post-operative Rehabilitation Protocol. Ask the Coaches: Ruptured Quadriceps Tendon | Runner's World If you drive for a living, you may need to take this step to prove you're able to return to work. 0fiI/>ZXheiRmej}QKene. They drill a small hole in your upper arm bone. Elasticized compression bandage around the injury can be used. Your physical therapy appointment should have been made for you before your surgery day. government site. How long after quad tendon surgery can you drive? Outcomes following long head of biceps tendon tenodesis. SjDApqkpHD8jVU_Q(MOGk?Zm%u un-@aL$!@c5l'VcbO;*|sB/rf>(rFW{OiQKw#3:9L0~qe5. So what I did was to focus on my internet business and the rehabilitation of my leg. You've Been Given a Sedative After taking any sedative medication, you shouldn't drive for at least 24 hours. endobj Exceptions may include an injury to your left knee, ankle, or foot. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://journals.lww.com/plasreconsurg/pages/articleviewer.aspx?year=2015&issue=06000&article=00034&type=abstract, https://doi.org/10.1016/J.MPSUR.2016.01.007, https://www.jstor.org/stable/j.ctt1g69xq0.13, https://www.sciencedirect.com/science/article/pii/B9780323077477000113?via%3Dihub, https://www.e-aps.org/journal/view.php?doi=10.5999/aps.2014.41.4.312, https://www.mltj.org/common/php/portiere.php?ID=8daaaa97e443ef0788717cb25d6438d0, https://www.sciencedirect.com/science/article/pii/S1742706117305469?via%3Dihub, https://synapse.koreamed.org/DOIx.php?id=10.4055/cios.2015.7.3.275, https://onlinelibrary.wiley.com/doi/abs/10.1002/jor.22806, https://online.boneandjoint.org.uk/doi/full/10.1302/2058-5241.2.160075. HHS Vulnerability Disclosure, Help Orthopade. Copyright 2012 Elsevier Ltd. All rights reserved. Home Maintenance How Long After Quadriceps Tendon Repair Surgery. Recovering from Patellar/Quadriceps tendon repair surgery is not easy. S"VN] w7X=zPEz*mdrDEDGl-^B^iY/a'Q 6Z{ J>1ZTEX@}1-9@x!X%4wWF\2zE5GP>s6;A/6F|}#$<=PDW[7G0pRD_! Torn Quad - Quadriceps Tendon Rupture - SportsMD 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Tendon Repair Surgery: Reasons, Procedure, and Recovery - Healthline It often. dJ}Ex?G+ZJ0xBrT>G@7E1 # "KH/2X 49 0 obj Sprained Ankle vs. While many insurance companies may not cover you if you're in an accident while wearing a cast or brace, if you're taking pain killers, if you have an unhealed fracture, or if you've had "recent" surgery (they need to define for you what they deem "recent"), some will. They might have recommendations such as occupational therapy or sports therapy to help you ease back into your usual routines. Tendon injuries: Basic science and new repair proposals. What Is an Anterior Tibialis Tendon Rupture? (2015, June). You will have physical therapy that begins about two weeks after your surgery and continues for several months. A small rip probably won't require surgery. doi: 10.1016/j.asmr.2022.09.009. Imaging tests, such as ultrasounds and MRIs, can also help diagnose the precise cause and location of the tendon injury. Y D%pwRscI]mQp%7CYaai6 :p-sln01fv (+7h&eu5hy69 D*::+ w h` 1+:*:/i~ {?AQ9Yi/*6`1DcjH1(@ H10xiF@*g0 `k The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Epub 2015 Oct 6. Surgeons usually take tendons from areas where the body has two tendons but can manage with just one. Advertising on our site helps support our mission. You notice an unusually large bulge in your upper arm. A systematic review. Even a joint that is partially restricted by a soft brace or bandage may restrict your range of motion too much to drive safely as researched in one study. Khan, H., & Sivakumar, B. hVKo0+:nN,Y6PHf+>P/c.8Y;0)R(`&L2EbA!YJ``e b&0fw|eM> S#[59]^g+>WVsu}Y[?`f-0|m>b(cNBPMValGDC5vivb7:+2[CV).%?oU1UO|+M1UBS49pY9EE9,'EeVa^CsHy\Jg3&f,q\caH1QtPUKd1)X"f2D0#Qqu"zK QNyCToP^@.P~ Return to (sedentary) work or school the day after surgery if pain is tolerable. Pain that limits your mobility can affect your driving. TREATMENT OF QUADRICEPS TENDON RUPTURE IN HEMODIALYSIS PATIENTS: A 2020 UPDATE. Quadriceps Tendon Repair - Brian Forsythe, M.D (2017, November). What Happens With a Quadriceps Tendon Rupture - Verywell Health One of the most common questions people ask after undergoing a medical procedure is "When can I start driving again?" Quadriceps Tendon Ruptures in Middle-Aged to Older Patients: A Retrospective Study on the Preoperative MRI Injury Patterns and Mid-Term Patient-Reported Outcome Measures. Safe driving after propofol sedation. Get useful, helpful and relevant health + wellness information. The most common mechanism of injury was simple fall (61.5%). <>/MediaBox[0 0 612 792]/Parent 2 0 R/Resources<>/ProcSet[/PDF /Text /ImageB /ImageC /ImageI]>>/StructParents 1/Tabs/S/Type/Page>> Call for an appointment (03) 6231 2477, Hip Replacement for Residual Hip Dysplasia, Long Head of Biceps Pathology (at shoulder), Shoulder Arthritis and Total Shoulder Replacement, Chronic Compartment Syndrome Fasciotomy Rehab Protocol, Rotator Cuff Repair, including Subscapularis, Rehab, Shoulder Instability Bankart Repair Rehab, Brace locked in full extension for 6 weeks, Ice and modalities to reduce pain and inflammation, Range of motion 0 degrees to 30 degrees flexion, Continue with aggressive patella mobility, Heel slides and total knee extension with ankle on towel, Increase intensity with quadriceps strength and straight leg raises, Continue with swelling control and patella mobility, Gradually progress to full range of motion, Begin mutli-plane straight leg raising and closed kinetic chain strengthening, Initiate open kinetic chain progressing to closed kinetic chain multi-plane hip, Progress open and closed kinetic chain program from bilateral to unilateral, Begin treadmill walking program forward and backward, Advance unilateral open and closed kinetic chain strengthening, Advance open and closed kinetic chain strengthening, Increase intensity on bike, treadmill, and elliptical trainer, Increase difficulty and intensity on proprioception drills, Begin gym strengthening: leg press, hamstring curls, ab/adduction; avoid lunges and, Begin multi-directional functional core program, May begin leg extensions; 30 degrees to 0 degrees progressing to full ROM as patellofemoral arthrokinematics normalize, Begin pool running program advancing to land as tolerated, Begin multi-directional field/court drills, Begin bilateral progressing to unilateral plyometric drills. Range of motion will be blocked at 0 degrees in a brace for 4 weeks. The medical team will recommend some physical therapy or occupational therapy exercises to help bring back the range of motion slowly and safely. It has four parts: rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius. HTn6}W#YT=,V6.VjM;CX,Z2L sfFawh/%=}5w,ZA||PhyqSi;_[R]?6 w> The most common sites of tear were noted between 1cm and 2 cm of the superior pole of the patella and, in the older people, at the osseotendinous junction. Driving After an Orthopedic Injury or Surgery. In 2010 only 2.5% of ACL reconstructions were performed with the quad tendon. 7 soft tissue injuries of the hand. Trouble moving the affected leg or walking. What's to know about extensor tendonitis? If you have limited movement of a body part or pain, you may need to avoid driving for an extended period of time. It is important to start physical therapy within two to three days after surgery. Am J Law Med. Clipboard, Search History, and several other advanced features are temporarily unavailable. After that, use as necessary. Before Right ankle fracture: Normal function was usually restored a week after the cast was removed. As long as your leg is straight all should be OK is what I suspect. U A&Mo79# Overall, it is part of the lower extremity's extensor mechanism. Khazai RS, Lee CS, Boyajian HH, Shi LL, Athiviraham A. Li M, Shaikh AB, Sun J, Shang P, Shang X. Common Fractures of the Leg, Ankle, and Foot, Medial Malleolus Fracture and Broken Ankle Treatment. It is very important that the patient knows the recovery process is difficult and time consuming. As an orthopedic injury heals, you may not be allowed to move the injured body part for a long period of time. J of Opioid Management. You should call your healthcare provider if you have: Biceps tenodesis is the first step toward healing your biceps tendon so you can resume favorite activities like sports. Out of 474 studies identified, 12 met the inclusion criteria. Swelling. Anti-inflammatory medications. How Long After Quadriceps Tendon Repair Surgery - BikeHike The majority of the studies reported good or excellent ROM and return to the pre-injury activities. Between a rock and a hard place: can physicians prescribe opioids to treat pain adequately while avoiding legal sanction? Extensor tendons connect muscle to bone and are located just under the skin. Driving After surgery you will not be allowed to drive as long as you are taking narcotic . The job was computer support so I would be sitting all day which was something I could do, but how was I going to get to the job. What is the cost of a Quadriceps Tendon Rupture Repair? <> Driving After Anesthesia Refrain from driving for the first 24 to 48 hours after receiving anesthesia. How long after quad tendon surgery can you drive? 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Tendon injuries often require surgical treatment. Federal government websites often end in .gov or .mil. Complete recovery takes at least 4 months, but most repairs are almost completely healed within 6 months. PDF Post Operative Instructions Patella Tendon / Quad Tendon Repair The patient is then placed into a knee immobilizer keeping the knee straight after surgery. Phase 1: 0-2 weeks post-operatively Goals Protect repair Minimize pain . Protect the tendon repair from overstress and allow healing 2. official website and that any information you provide is encrypted I didnt really have friends that were readily accessible so I decided to go against the docs orders and figure out a way to drive myself. The .gov means its official. <>>> The most frequently used repair technique was patella drill holes (50% of patients). Once this is complete, the surgeon will sew the cut skin back together with medical stitches. Unable to load your collection due to an error, Unable to load your delegates due to an error. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. However, some studies have provided insight into which injuries may require the most attention when deciding whether you're ready to drive again. Before you can do that, however, youll need physical therapy and a healthy dose of patience so your biceps tendon can heal. Biceps tenodesis treats biceps tendon tears caused by injury or overuse. % 2018 Mar 19;13(3):e0194376. Lalonde, D., & Martin, A. Best food forward: Are algae the future of sustainable nutrition? All those reactions can cause problems on the road. The joints that are . Klein, L. J., & Crimmins, C. A. It can be associated with one or more predisposing risk factors like obesity, steroids use, and hyperparathyroidism. It appears that the type of surgical repair does not influence the clinical results. Foot and Ankle Surgery. Once your motion,. Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. Bunion Surgery: Everything You Need to Know, Driving after upper or lower extremity orthopaedic surgery, Driving advice after isoflurane anaesthesia, Driving under the influence of opioids: What prescribers should know, Doctor, when can I drive? Worst results were noted in delayed repairs. All data regarding mechanism and site of rupture, type of treatment, time elapsed between diagnosis and repair, patients' satisfaction, clinical outcome, return to pre-injury activities, complications and recurrence rates were extracted and analysed. Youll wear an arm sling or arm immobilizer for two to four weeks after your surgery. Having been advised by my doctor soon after surgery that I wasnt supposed to drive for several weeks, I became very stressed out on what to do about my situation. Youll receive general anesthesia (youre asleep) or regional anesthesia (youre awake but cant feel or move your arm) before the procedure. 2014;12(1):26-31. doi:10.1016/j.surge.2013.05.006, Disilvestro KJ, Santoro AJ, Tjoumakaris FP, Levicoff EA, Freedman KB. Early repair: During the next 36 weeks, the range of motion will start to return, but the area may feel slightly stiff. Bleeding that soaks through your dressing and doesn't stop when you place pressure over the area. When can I drive after orthopaedic surgery? The quadriceps muscle becomes the quadriceps tendon that inserts onto the patella. This is done with several small incisions instead of one large one. Simultaneous bilateral quadriceps tendon ruptures (SBQTR) are uncommon knee injuries and most frequently occur in male patients, over 50 years of age. [48 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R] "ydL@78 o K| The effect of ankle brace type on braking response time-A randomised study. 2 This includes general anesthesia and conscious sedation. w] a After the surgery, a person should slowly regain their range of motion. Who should answer the question: Can I drive with this plaster cast? My parents lived in Monroe and my friends all worked jobs, so taxiing me around was not an option. It can take longer to recover from a grade 2 or 3 strain, in some cases over 1 month. This is especially true if you've had surgery or are nursing a serious fracture. 2022 Jun 14;11(7):e1209-e1217. (https://pubmed.ncbi.nlm.nih.gov/27599831/). PDF Rehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair The biceps tenodesis procedure treats shoulder and biceps muscle pain and weakness that happens when you tear your long head biceps tendon. Tang, J. PDF Quad/Patella Tendon Repair - South Shore Orthopedics hb```,;@( The quadriceps tendon (quad tendon) is the large tendon just above your kneecap. Can poor sleep impact your weight loss goals?