Simultaneous chronic rupture of quadriceps tendon and contra-lateral patellar tendon in a patient affected by tertiary hyperparatiroidism

被引:22
作者
Grecomoro G. [1 ]
Camarda L. [1 ,2 ]
Martorana U. [1 ]
机构
[1] Dipartimento delle Chirurgie Speciali, Unità Operativa di Ortopedia e Traumatologia, Azienda Ospedaliera Universitaria Policlinico P. Giaccone, 90127 Palermo, Via del Vespro
[2] Sezione di Ortopedia e Traumatologia, Dipartimento delle Chirurgie Speciali, Università degli Studi di Palermo, 90100 Palermo, Via del Vespro
关键词
Patellar tendon rupture; Quadriceps tendon; Tertiary hyperparathyroidism;
D O I
10.1007/s10195-008-0002-x
中图分类号
学科分类号
摘要
Spontaneous ruptures of the extensor mechanism of the knee are very rare. They tend to increase considerably in patients with metabolic diseases such as chronic renal failure, hyperparathyroidism, diabetes, gout, and systemic lupus erythematosus. The reported case regards a 48-year-old man with chronic, spontaneous and simultaneous quadriceps, and contra-lateral patellar tendon rupture. The patient suffered from chronic renal failure and for the past year from tertiary hyperparathyroidism. Ruptured tendons were repaired and both knee were evaluated monthly for the next 12 months. Good functional recovery was achieved on both knees without relapse. This case emphasizes the importance of long-term high parathyroid hormone level in the etiology of tendons ruptures. © Springer-Verlag 2008.
引用
收藏
页码:159 / 162
页数:3
相关论文
共 16 条
[1]  
Anzel S.H., Covey K.W., Weiner A.D., Et al., Disruption of muscles and tendons: An analysis of 1014 cases, Surgery, 45, pp. 406-414, (1959)
[2]  
Wong M.W., Tang Y.N., Fu S.C., Lee K.M., Chan K.M., Triamcinolone suppresses human tenocyte cellular activity and collagen synthesis, Clin Orthop Relat Res, 421, pp. 277-281, (2004)
[3]  
Loehr J., Welsh R.P., Spontaneous rupture of the quadriceps tendon and patellar ligament during treatment for chronic renal failure, Can Med Assoc J, 129, pp. 254-256, (1983)
[4]  
Bhole R., Johnson J.C., Bilateral simultaneous spontaneous rupture of quadriceps tendons in diabetic patient, South Med J, 78, (1985)
[5]  
Morgan J., McCarty D.J., Tendon ruptures in patients with systemic lups erythematosus treated with corticosteroids, Arthritis Rheum, 17, pp. 1033-1066, (1974)
[6]  
Shiota E., Tsuchiya K., Yamaoka K., Et al., Spontaneous mayor tendon ruptures in patients receiving long-term hemodialysis, Clin Orthop, 394, pp. 236-242, (2002)
[7]  
Wener J.A., Schein A.J., Simultaneous bilateral rupture of the patellar tendon and quadriceps expansions in systemic lupus erythematosus: A case report, J Bone Joint Am, 56, pp. 823-824, (1974)
[8]  
Rogers A., Rix S., Kulkarni R., Simultaneous rupture of a patellar tendon and controlateral quadriceps tendon in a healty individual, Orthopedics, 26, pp. 817-818, (2003)
[9]  
Insall J., Salvati E., Patella position in the normal knee joint, Radiology, 101, pp. 101-104, (1971)
[10]  
Krakow K.A., Thomas S.C., Jones L.C., A new stitch for ligament-tendon fixation. Brief note, J Bone Joint Surg Am, 68, pp. 764-766, (1986)