Spontaneous Tendon Ruptures in Patients Treated by Chronic Hemodialysis

Morein, G; Goldschmidt, Z.; Pauker, Maor H.; Seelenfreund, M; Rosenfeld, Joseph B.; Fried, A

doi:10.1097/00003086-197705000-00029

Cited by 16 publications

(16 citation statements)

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“…Furthermore, they reported that steroid use in the patients with rupture was higher than in the control group. 20 Similarly, in a study by Morein et al, 21 which was conducted in patients with chronic renal failure who were receiving hemodialysis treatment, they mentioned that tendon rupture was more frequent in younger patients who received dialysis for a longer period, and weakness in the tendons was related to time.…”

Section: Discussionmentioning

confidence: 98%

Real‐time Sonoelastography of the Quadriceps Tendon in Patients Undergoing Chronic Hemodialysis

Teber¹,

Oğur²,

Bozkurt³

et al. 2015

J of Ultrasound Medicine

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Objectives This study aimed to compare sonoelastographic findings for the quadriceps tendon in patients with chronic renal failure who were in a dialysis program to findings in a control group. Methods Fifty‐three randomly allocated patients (mean age, 54.3 years; range, 27–86 years) with chronic renal failure who were in a dialysis program 3 days a week between January and May 2012 were included. The measurements were performed in both knees of 53 patients undergoing dialysis and 25 individuals in the control group. The tendons were classified as follows: type 1, very stiff tissue (blue); type 2, stiff tissue (blue‐green); and type 3, intermediate tissue (green‐yellow) according to color mapping. Results The mean quadriceps tendon thicknesses in the patient group were 4.9 mm (range, 1.9–6.5 mm) for the right knee and 4.9 mm (1.4–6.5 mm) for the left knee; the values in the control group were 5.4 mm (3.6–7.0 mm) for the right knee and 5.4 mm (3.4–7.0 mm) for the left knee. The mean elasticity scores in the patient group were 3.14 (1.03–5.23) for the right knee and 3.33 (1.29–5.00) for the left knee; in the control group, the values were 3.79 (1.73–5.23) and 3.69 (1.23–5.53) for the right and left knees, respectively (right knee, P = .025; left knee, P = .018; Mann‐Whitney U test). The quadriceps tendons were significantly thinner in the patient group (right knee, P = .054; left knee, P = .015; Mann‐Whitney U test). Conclusions Quadriceps tendons in patients with chronic renal failure are thinner and have lower elasticity scores compared to controls.

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Section: Discussionmentioning

confidence: 98%

Real‐time Sonoelastography of the Quadriceps Tendon in Patients Undergoing Chronic Hemodialysis

Teber¹,

Oğur²,

Bozkurt³

et al. 2015

J of Ultrasound Medicine

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“…We chose this lower resistance technique as a safety measure to reduce the risk for tendon rupture and bone fractures that have been reported in MHD patients who were subjected to high-resistance loads. 6,23,24 Also, for this latter reason and because they were deconditioned and our focus was on developing exercise capacity rather than muscle hypertrophy, the ST and EST patients generally spent their first 8 wk performing less intensive exercise training and increased the intensity of their resistance training slowly. Our objective was more focused on improving strength than muscle hypertrophy per se; therefore, we did not use such techniques as multiple sets of multiple exercises with a relatively short rest interval and eight to 12 repetitions to muscle failure, which are more effective at recruiting type IIx fibers (previously identified as type IIb or fast-twitch glycolytic fibers) in human skeletal muscle (see Sale 25 for motor unit recruitment patterns).…”

Section: Discussionmentioning

confidence: 99%

Exercise in Maintenance Hemodialysis Patients Induces Transcriptional Changes in Genes Favoring Anabolic Muscle

Kopple¹,

Wang²,

Casaburi³

et al. 2007

Journal of the American Society of Nephrology

143

127

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Exercise training increases exercise capacity of maintenance hemodialysis patients, but the cellular mechanisms responsible for this effect are unclear. We studied the effects of different forms of exercise training (endurance, strength, or a combination where patients underwent about one-half each of the endurance and strength training of the first two groups) on mRNA levels of genes in muscle that may contribute to increased exercise capacity. Before exercise training, muscle mRNA of insulin-like growth factor (IGF)-IEa, IGF-I receptor, IGF-II, IGF-binding protein (IGFBP)-2, and IGFBP-3 were lower in hemodialysis patients than normal controls. After approximately 21 weeks of exercise training, muscle mRNA increased significantly for all of these genes, as well as for IGF-IEc. Muscle mRNA for myostatin, a protein that inhibits skeletal muscle protein synthesis and muscle hypertrophy, decreased. The responses of mRNA to the different types of exercise training generally showed similar significant changes or trends. Muscle IGF-I protein also increased with exercise. Anthropometry, but not dual energy x-ray absorptiometry or bioelectrical impedance, showed a decrease in body fat and an increase in fat-free mass. In conclusion, exercise training in hemodialysis patients induces changes in skeletal muscle mRNA and increases muscle IGF-I protein, which may promote protein anabolism.

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“…[1] found no correlation between renal dysfunction and tendonitis, whereas, Achilles tendonitis and other tendon ruptures have been reported as having a greater incidence in patients with end-stage renal disease [5] and those receiving haemodialysis [17][18][19]. It has been postulated that chronic acidosis in dialysis patients leads to degeneration of tendons, thereby causing a change in their tensile characteristics [18].…”

Section: Discussionmentioning

confidence: 99%

Achilles tendon disease in lung transplant recipients: association with ciprofloxacin

Pn¹,

Ml²,

Pm³

et al. 2002

Eur Respir J

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Achilles tendon disease in lung transplant recipients: association with ciprofloxacin. P.N. Chhajed, M.L. Plit, P.M. Hopkins, M.A. Malouf, A.R. Glanville. #ERS Journals Ltd 2002. ABSTRACT: Achilles tendonitis or rupture are uncommon complications following the use of fluoroquinolones, with a reported incidence in the general population of 0.4%. The aims of the current study were to determine the incidence of Achilles tendon disease (ATD) in lung transplant recipients (LTR) and to identify risk factors.Questionnaires were sent to 150 LTR of whom 101 responded (67%). Twenty-two LTR (21.8%) experienced ATD (tendonitis 16, rupture six). The mean age of LTR who developed ATD was 52.9 ¡ 6.1 yrs (range: 19-63.5 yrs).Only the use of ciprofloxacin was significantly associated with ATD (pv0.05). Age, sex, underlying disease necessitating transplantation, serum creatinine and cyclosporine levels were not associated with ATD. The association between ciprofloxacin and ATD was not dose related. Of the 72 LTR who had received ciprofloxacin, 20 (28%) developed ATD (tendonitis 15, rupture five). In patients receiving ciprofloxacin, there was no association between the mean cumulative dose of prednisolone and ATD. Tendon rupture occurred with a lower ciprofloxacin dosage than tendonitis and the mean recovery duration was significantly longer.To conclude, lung transplant recipients receiving ciprofloxacin are at significant risk of developing Achilles tendon disease. The association between ciprofloxacin and Achilles tendon disease appears to be idiosyncratic rather than dose-related.

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Spontaneous Tendon Ruptures in Patients Treated by Chronic Hemodialysis

Cited by 16 publications

References 0 publications

Real‐time Sonoelastography of the Quadriceps Tendon in Patients Undergoing Chronic Hemodialysis

Real‐time Sonoelastography of the Quadriceps Tendon in Patients Undergoing Chronic Hemodialysis

Exercise in Maintenance Hemodialysis Patients Induces Transcriptional Changes in Genes Favoring Anabolic Muscle

Achilles tendon disease in lung transplant recipients: association with ciprofloxacin

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