ABSTRACT
Spontaneous bilateral quadriceps rupture is rarely seen in systemic diseases. Although the underlying mechanism in tendon rupture is not clearly understood, β2-amyloidosis, chronic acidosis, impaired collagen metabolism, accumulation of uremic toxins and secondary hyperparathyroidism are held to be responsible. The patients with bilateral spontaneous quadriceps rupture can be able to achieve significant functional improvement with the postoperative rehabilitation program. In this article, we aimed to present a patient with hemodialysis who developed spontaneous bilateral quadriceps and unilateral triceps rupture and discuss in company with the literature.
References
1
De Franco P, Varghese J, Brown WW, Bastani B. Secondary hyperparathyroidism, and not beta-2-microglobulin amyloid, as a cause of spontaneous tendon rupture in patients on chronic hemodialysis. Am J Kidney Dis 1994 c;24:951-5.
2
Kurer MH, Baillod RA, Madgwick JC. Musculoskeletal manifestations of amyloidosis: A review of 83 patients on hemodialysis for at least 10 years. J Bone Joint Surg Br 1991;73:271-6.
3
Razzano CD, Wilde AH, Phalen GS. Bilateral rupture of the infrapatellar tendon in rheumatoid arthritis. Clin Orthop 1973;91:158-61.
4
Wilson IN. Bilateral rupture of rectus femoris tendonsin chronic nephritis. BMJ 1957;1:1402-3.
5
Tasoğlu O, Ekiz T, Yenigun D, Akyuz M, Ozgirgin N. Bilateral quadriceps and triceps tendon rupture in a hemodialysis patient. Hemodial Int 2016;20:E19-21.
6
Soo I, Christiansen J, Marion D, Courtney M, Luyckx VA. Sequential rupture of triceps and quadriceps tendons in a dialysis patient using hormone supplements. Clin Nephrol 2011;75(Suppl 1):20-3.
7
Steiner CA. Palmer LH. Simultaneous bilateral rupture of the quadriceps tendon. Am J Surg 1949;78:752-4.
8
Lim CY, Ong KO. Various musculoskeletal manifestations of chronic renal insufficiency. Clin Radiol 2013;68:e397-411.
9
Murphy KJ, McPhee I. Tears of major tendons in chronic acidosis with elastosis. J Bone Joint Surg Am 1965;47:1253-8.
10
Rysavy M, Wozniak A, Arun KP. Spontaneous and simultane-ous quadriceps and patella tendon rupture in a patient on chronic hemodialysis. Orthopedics 2005;28:603-5.
11
Uzer G, Elmadag M, Yıldız F, Pulaktan MA. Simultaneous Spontaneous Bilateral Quadriceps Tendon Rupture Related with Hyperparathyrodism Secondary to Vitamin D Deficiency: A Case Report. Bezmialem Science 2013;1:33-6.
12
Masonis JL, Frick SL. Bilateral quadriceps tendon ruptures as the initial presentation of amyloidosis. Orthopedics 2001;24:995-6.
13
Nangaku M, Miyata T, Kurokawa K. Pathogenesis and management of dialysis-related amyloid bone disease. Am J Med Sci 1999;317:410-5.