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

Üreten, Kemal; Öztürk, Mehmet Akif; Özbek, Mustafa; Unverdi, Selman

doi:10.1007/s11255-008-9421-0

Cited by 16 publications

(22 citation statements)

References 15 publications

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“…Additionally, many of the patients described in previous reports had been treated with corticosteroids or fluoroquinolone antibiotics [24][25][26][27][28] . Most of the reports proved a relationship between the length of time on dialysis and occurrence of spontaneous tendon ruptures [12,13,23] . Our results demonstrate that although most of the patients received renal replacement therapy for more than 10 years, spontaneous tendon rupture may occur in patients who were on dialysis for a relatively short time, as was the case with patient 9.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…The quadriceps, Achilles, patellar, triceps, biceps, supraspinatus, and subscapularis tendon ruptures in patients with chronic renal failure have been previously reported in the literature (9)(10)(11). Possible factors associated with tendon rupture in patients with chronic renal failure are uremic toxins, secondary amyloidosis, chronic metabolic acidosis, secondary hyperparathy roidism and hemodialysis (2,(12)(13)(14).…”

Section: Discussionmentioning

confidence: 93%

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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“…To the best of our knowledge, few cases have developed spontaneous bilateral ruptures of the Achilles tendons without any apparent predisposing factors [7,8]. In this report, we present an interesting case of spontaneous bilateral Achilles tendon rupture.…”

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confidence: 77%

“…Approximately 75% to 80% of cases can be attributed to participation in athletic activities, including ball and racquet sports [5]. The mechanisms of injury include a sudden pushing off from the weight-bearing forefoot with the knee in extension, unexpected ankle dorsiflexion, and violent dorsiflexion of a plantar-flexed foot [6].To the best of our knowledge, few cases have developed spontaneous bilateral ruptures of the Achilles tendons without any apparent predisposing factors [7,8]. In this report, we present an interesting case of spontaneous bilateral Achilles tendon rupture.…”

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confidence: 99%