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Case Reports
. 2011 Jan;21(1):48-51.
doi: 10.4103/0971-4065.78079.

Bilateral quadriceps tendon rupture as the presenting manifestation of chronic kidney disease

N A Wani  1 , H A Malla, T Kosar, I M Dar
Affiliations
Case Reports

Bilateral quadriceps tendon rupture as the presenting manifestation of chronic kidney disease

N A Wani et al. Indian J Nephrol. 2011 Jan.

Abstract

Bilateral painful knees with loss of extension in a patient with chronic kidney disease (CKD) may be due to spontaneous quadriceps tendon rupture. This rare complication is usually seen in patients on long term dialysis. We present a case of bilateral spontaneous quadriceps tendon rupture demonstrated by magnetic resonance imaging in a 20-year-old woman who on evaluation was found to have CKD.

Keywords: Chronic renal disease; hyperparathyroidism; magnetic resonance imaging; quadriceps tendon rupture.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
X-ray of right knee lateral view shows a slight inferior displacement of patella with loss of quadriceps tendon bulge just above it; calcification is seen in suprapatellar region
Figure 2
Figure 2
X-ray of lateral view of left knee shows inferior displacement of patella with loss of suprapatellar quadriceps bulk
Figure 3
Figure 3
T2-weighted sagittal MR image of right knee showing discontinuity between lower end of hypointense signal intensity quadriceps tendon and upper pole of patella with intervening hyperintense signal intensity; joint effusion is seen
Figure 4
Figure 4
T2-weighted sagittal MR image of left knee joint shows discontinuity between quadriceps tendon and upper pole of patella filled with hyperintense signal intensity
See this image and copyright information in PMC

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