An American member was hiking in South Africa’s northern cape when he sustained a knee injury and contacted Global Rescue. He was evaluated at a nearby clinic and was diagnosed with a spontaneous rupture of the right quadriceps tendon, a rare condition characterized by the simultaneous tear of the fibrous tissue connecting the quadriceps muscle to the patella bone, according to the National Institutes of Health. Prompt diagnosis is crucial for appropriate treatment and optimal outcomes. Unfortunately, the medical facility was not equipped with imaging capabilities. The treating physician recommended for fit to fly with a requirement for the injured man’s leg to remain straight and elevated. The Global Rescue operations team arranged repatriation on a business-class flight with wheelchair assistance. The member departed Johannesburg and safely arrived at his home city in Portland, Oregon, where he would continue his recovery.