Spontaneous rupture of the right quadriceps tendon in a patient undergoing long-term hemodialysis: a case report

Abstract

Spontaneous unilateral quadriceps tendon rupture is an uncommon injury that is generally associated with chronic kidney disease and metabolic disorders. The current case involved a 50-year-old man with a painful right knee that he was unable to extend as a result of minor trauma sustained in an accident. Physical examination combined with radiographic and ultrasonographic investigations led to a diagnosis of quadriceps tendon rupture of the right knee. The patient had a 7-year history of hemodialysis for treatment of chronic kidney disease, leading to secondary hyperparathyroidism. He underwent successful tendon repair surgery, and his right knee was immobilized with splints for 6 weeks postoperatively. He gradually resumed full weight bearing and then normal walking.

Quantitative evaluation of the Achilles tendon and supraspinatus tendon in end‐stage kidney disease patients: A potential tool for predicting spontaneous tendon rupture

“…Although the starting time for dialysis in asymptomatic ESKD patients is still controversial [1], alternative treatments such as dialysis or kidney transplantation are used if uremia occurs during this period. Over the past 10 years, cases of spontaneous tendon rupture in ESKD patients have been reported many times worldwide, where most of the ruptured tendons were weight-bearing tendons such as the Achilles tendons and supraspinatus tendons [2][3][4][5][6][7][8][9]. Tendon rupture further reduces the quality of life in ESKD patients, but unfortunately, the mechanism of spontaneous tendon rupture in ESKD patients still remains unclear.…”