Introduction: Quadriceps and Achilles tendon ruptures are well-known entity following tendonitis and tendon weakening in some of the chronic and systemic underlying disease. Case Presentation: We report a very rare case with simultaneous Achilles and bilateral quadriceps tendon ruptures in a patient with chronic renal failure (CRF) in a 48-year-old man. The ruptured tendons were treated surgically with good outcome. Conclusions: Multiple tendons injury should be considered to prevent delayed diagnosis in patients with CRF who presented with tendon rupture.

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