A Case Report of Spontaneous Concurrent Bilateral Rupture of the Quadriceps Tendons in a Patient With Chronic Renal Failure
Version of Record online: 12 FEB 2010
© 2010 The Authors. Journal compilation © 2010 International Society for Apheresis
Therapeutic Apheresis and Dialysis
Volume 14, Issue 1, pages 104–107, February 2010
How to Cite
Matokovic, D., Matijasevic, B., Petrić, P., Crnkovic, T. and Škorvaga, S. (2010), A Case Report of Spontaneous Concurrent Bilateral Rupture of the Quadriceps Tendons in a Patient With Chronic Renal Failure. Therapeutic Apheresis and Dialysis, 14: 104–107. doi: 10.1111/j.1744-9987.2009.00695.x
- Issue online: 12 FEB 2010
- Version of Record online: 12 FEB 2010
- Received July 2008; revised December 2008.
- Calcium–phosphate complex deposition;
- Chronic renal failure;
- Quadriceps tendon;
- Tendon rupture
In patients with chronic renal failure, many complications may develop that involve all organ systems, especially the locomotor system. Spontaneous concurrent bilateral rupture of the quadriceps tendons is a very rare complication in patients with chronic renal failure, usually occurring in patients under 50 years of age. Although there are numerous causes that lead to tendon weakness and rupture, most authors agree that secondary hyperparathyroidism plays a major role in the pathogenesis of tendon rupture. Soft tissue and perivascular calcifications, diminished local circulation, reduced tendon elasticity, impaired collagen metabolism, nerve lesions, repeated trauma, and articular swelling contribute to tendon weakness and rupture. A patient is presented in whom spontaneous concurrent bilateral quadriceps tendon rupture occurred at the age of 34, after seven years of hemodialysis therapy. Timely diagnosis and operative management with primary tendon suturing followed by physiotherapy produced a good anatomical and functional result.