Isolated Traumatic Rupture of the Semitendinosus Tendon During Soccer Practice - Case Report
E.Z. Migon, G. Rigatti, W.F. Perin, C.H.I. GuardiaObjectives:
To describe a rare case of isolated traumatic rupture of the distal semitendinosus tendon in a recreational soccer player, highlighting the diagnostic workup, surgical management, and functional outcomes. This report aims to contribute to the current understanding of the management of these uncommon injuries in athletes.
Methods:
A 37-year-old man presented with sudden severe pain in the posteromedial aspect of the right knee during a soccer match. Magnetic resonance imaging (MRI) demonstrated a complete rupture of the distal semitendinosus tendon with approximately 4 cm of tendon retraction. Surgical treatment was performed 30 days after injury and consisted of tendon reinsertion using a bioabsorbable interference screw. Postoperative follow-up included assessment of pain, function, and return to sport.
Results:
The patient experienced an uneventful recovery, with complete pain resolution and full functional recovery within three months. Clinical evaluation demonstrated preserved muscle strength and knee stability, allowing a safe return to sport. Surgical treatment resulted in successful restoration of function without complications.
Conclusion:
Isolated rupture of the distal semitendinosus tendon is a rare injury in athletes. Accurate diagnosis and appropriate surgical management are essential for optimal functional recovery. Distal tendon reinsertion can provide excellent clinical outcomes and facilitate a safe return to sport.