Simultaneous multiple tendon ruptures complicating a seizure in a haemodialysis patient

Palmer, Suetonia C.; Birks, Christopher; Dunbar, John; Walker, R.

doi:10.1111/j.1440-1797.2004.00269.x

Cited by 10 publications

(7 citation statements)

References 10 publications

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“…Parathyroid hormone can stimulate bone resorption in the bone-tendon junction. It is likely that secondary hyperparathyroidism leads to osteoclastic bone resorption at the tendon insertion, resulting in multiple avulsion fractures, and contributing to eventual rupture [10,17,19,20].…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous and simultaneous rupture of both Achilles tendons and pathological fracture of the femur neck in a patient receiving long-term hemodialysis

et al. 2008

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Spontaneous rupture of the Achilles tendons in hemodialysis patients is a rare complication. The majority of these patients have additional predisposing factors, such as previous use of fluoroquinolone antibiotics or corticosteroids. Spontaneous rupture of bilateral Achilles tendons without any of those predisposing factors is exceptional. In this paper, we report a 43-year-old woman who had been undergoing regular hemodialysis for 16 years. She developed bilateral spontaneous and simultaneous rupture of the Achilles tendons. She also developed pathological fracture of right femur neck 3 years later. Based on previous cases of tendon ruptures in uremic patients and the lack of history for the use of corticosteroids or fluoroquinolones, we believe that secondary hyperparathyroidism is the predisposing factor in this patient.

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Section: Discussionmentioning

confidence: 99%

“…Although those complications do not threaten the patient's life, they catastrophically impede daily functions. A number of factors predispose to tendon injury in hemodialyis patients, including secondary hyperparathyroidism, b-2 microglobulin-associated amyloidosis, corticosteroid treatment, and fluoroquinolone antibiotic use [9,10].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous and simultaneous rupture of both Achilles tendons and pathological fracture of the femur neck in a patient receiving long-term hemodialysis

et al. 2008

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“…Other factors that may predispose to tendon injury in CRF patients include corticosteroid treatment and fluoroquinolone antibiotics [19,20] .…”

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confidence: 99%

Spontaneous Tendon Ruptures in Patients with End-Stage Renal Disease

Bašić‐Jukić

Jurić

Rački

et al. 2009

Kidney Blood Press Res

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Spontaneous tendon ruptures in patients with end-stage renal disease (ESRD) have been occasionally reported. We describe the largest group of patients with spontaneous rupture of major tendons so far reported. Rupture of 16 tendons occurred in 9 patients. The mean patient age was 52.78 years; 77.7% were male. Four patients were treated with hemodialysis, 4 received a renal transplant and 1 was treated with automated peritoneal dialysis. Bilateral rupture was found in 5 patients (3 quadriceps, 1 Achilles and 1 supraspinatus and subscapularis tendon rupture). Distal brachial biceps tendon rupture, Achilles tendon rupture, unilateral quadriceps and rupture of the oblique internal abdominal muscle tendon were developed by 1 patient each. Patients were treated with renal replacement therapy for 3–21 years (mean 12.89). Five patients were treated with steroids and 6 patients received quinolone antibiotic before the tendon rupture. All patients had laboratory and clinical signs of hyperparathyroidism. A patient who was treated with automated peritoneal dialysis for 3 years had primary hyperparathyroidism with nephrolithiasis as the cause of ESRD. Our results demonstrated that patients with hyperparathyroidism are at increased risk for development of spontaneous tendon ruptures, and the risk is further amplified when they receive quinolone antibiotics and/or steroids.

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“…Other factors that may predispose to tendon injury in chronic renal failure patients include corticosteroid treatment, statins, and fluoroquinolone antibiotics (4,15,16). In the current case, secondary hyperparathyroidism, long-term hemodialysis and concomittant statin use are the major predisposing factors for the spontenous tendon rupture.…”

Section: Discussionmentioning

confidence: 99%

Isolated spontaneous pectoralis minor tendon rupture in a patient with chronic renal failure

Merve¹,

Kutlay²

2016

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Isolated rupture of the pectoralis minor tendon is extremely rare and has been reported 3 times in 4 patients. This article describes the first case of an isolated spontaneous pectoralis minor tendon tear in an endstage renal disease (ESRD) patient undergoing long-term hemodialysis and with a previous history of bilateral rupture of the quadriceps tendons.He presented with left anterior shoulderand chest wall pain with direct tenderness on palpation over the coracoid. Magnetic resonance imaging revealed an isolated tear of the pectoralis minor tendon with an intact pectoralis major tendon. The patient returned to full activities after conservative management. Although rare, the diagnosis of pectoralis minor tendon rupture should be considered in ESRD patients who present with anterior shoulder pain in the absence of an antecendent trauma.Key Words: End-Stage Renal Disease, Pectoralis Minor, Tendon Rupture, HemodialysisPektoralis minör tendonunun izole rüptürü son derece nadirdir ve 4 hastada 3 kez bildirilmiștir. Bu makale uzun süredir hemodiyalize giren ve bilateral kuadriseps tendonlarında rüptür hikayesi olan, son dönem böbrek yetmezliği (SDBY) bulunan hastadaki ilk izole spontan pektoralis minör tendon rüptürüdür. Hasta sol ön omuz ve korakoid üzerinde palpasyonla hassasiyet veren göğüs ön duvarı ağrısıyla bașvurdu. Manyetik rezonans görüntülemede sağlam pektoralis major tendonuyla birlikte pektoralis minör tendonu izole rüptü-rü mevcuttu. Hasta konservatif tedavi sonrası eski aktivite düzeyine döndü. Nadir olmakla birlikte pektoralis minör tendon rüptürü tanısı ön omuz ağrısıyla bașvuran, öncesinde travma öyküsü olmayan SDBY hastalarında düșünülmelidir.Anahtar Sözcükler: Son Dönem Böbrek Yetmezliği, Pektoralis Minör, Tendon Rüptürü, Hemodiyaliz Spontaneous rupture of tendons (quadriceps, Achilles and patellar tendon) is a clinical entitHy that is commonly reported to occur during the course of chronic diseases including the endstage renal disease (ESRD), diabetes mellitus, systemic lupus erythematosus and treatment with corticosteroids, statins and the fluoroquinolone antibiotics (1-4). Isolated spontaneous rupture of the pectoralis minor tendon without the pectoralis major tendon tear is extremely rare (5-8). Those reported cases were healthy people and had an antecedent trauma. Literature search on PubMed and MED-LINE revealed no reported case of isolated spontaneous pectoralis minor tears in chronic diseases. Herein, we report an isolated spontaneous rupture of the pectoralis minor tendon in an ESRD patient undergoing longterm hemodialysis and with a previous history of bilateral rupture of the quadriceps tendons. Case ReportA-59-year-old male presented with left anterior shoulder and chest wall pain. His pain worsened on abduction and extension of the arm beyond the scapular plain. He had type 1 diabetes mellitus, ESRD secondary to diabetic nephropathy and has been on hemodialysis for the last 9 years. Simultaneous rupture of quadriceps tendons occurred after a minor trauma within the last year. He unde...

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Simultaneous multiple tendon ruptures complicating a seizure in a haemodialysis patient

Cited by 10 publications

References 10 publications

Spontaneous and simultaneous rupture of both Achilles tendons and pathological fracture of the femur neck in a patient receiving long-term hemodialysis

Spontaneous and simultaneous rupture of both Achilles tendons and pathological fracture of the femur neck in a patient receiving long-term hemodialysis

Spontaneous Tendon Ruptures in Patients with End-Stage Renal Disease

Isolated spontaneous pectoralis minor tendon rupture in a patient with chronic renal failure

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