Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Mar 19;21(1):179.
doi: 10.1186/s12891-020-03204-6.

A simultaneous bilateral quadriceps and patellar tendons rupture in patients with chronic kidney disease undergoing long-term hemodialysis: a case report

Zhengbo Tao  1 , Wenbo Liu  1 , Weifeng Ma  1 , Peng Luo  1 , Shengpeng Zhi  1 , Renyi Zhou  2
Affiliations
Case Reports

A simultaneous bilateral quadriceps and patellar tendons rupture in patients with chronic kidney disease undergoing long-term hemodialysis: a case report

Zhengbo Tao et al. BMC Musculoskelet Disord. .

Abstract

Background: The incidence of rupture of the quadriceps or patellar tendon s is low, especially that of bilateral quadriceps tendon rupture, and it is generally considered a complication secondary to chronic systemic disorders. We report two rare cases of simultaneous bilateral tendon rupture affecting the extensor function of the knee in patients with chronic kidney disease who have been treated with long-term haemodialysis.

Case presentation: Two young males with a history of chronic kidney disease who were being treated with long-term haemodialysis presented to our hospital with clinical signs of disruption of the extensor mechanism of the knee. One patient was diagnosed with bilateral quadriceps tendon rupture, and the other patient had bilateral patellar tendon rupture. They underwent surgical repair of the tendons, and their knees were actively mobilized during physiotherapy.

Conclusion: Bilateral quadriceps or patellar tendons rupture is a rare occurrence in patients with chronic kidney disease who are being treated with long-term haemodialysis. Timely surgical treatment and scientific physiotherapy can lead to good recovery of knee joint function.

Keywords: Chronic kidney disease; Haemodialysis; Patellar tendon; Quadriceps tendon; Rupture.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Patient undergoing bilateral quadriceps tendon reconstruction at the same time
Fig. 2
Fig. 2
Two days after surgery, the patient wore an adjustable knee brace of 0–30 ° and stood down with the help of a walker
Fig. 3
Fig. 3
a Knee DR suggested avulsion fracture of the subtarsal pole and metatarsal position up; b Knee MR T2WI indicated rupture of patellar tendon, avulsion fracture of subtarsal pole
See this image and copyright information in PMC

References

    1. Ramseier LE, Werner CM, Heinzelmann M. Quadriceps and patellar tendon rupture. Injury. 2006;37(6):516–519. doi: 10.1016/j.injury.2005.12.014. - DOI - PubMed
    1. Steiner CA, La HP. Simultaneous bilateral rupture of the quadriceps tendon. Am J Surg. 1949;78(5):752–755. doi: 10.1016/0002-9610(49)90317-7. - DOI - PubMed
    1. Matokovic D, Matijasevic B, Petric P, Crnkovic T, Skorvaga S. A case report of spontaneous concurrent bilateral rupture of the quadriceps tendons in a patient with chronic renal failure. Ther Apher Dial. 2010;14(1):104–107. doi: 10.1111/j.1744-9987.2009.00695.x. - DOI - PubMed
    1. Kim YH, Shafi M, Lee YS, Kim JY, Kim WY, Han CW. Spontaneous and simultaneous rupture of both quadriceps tendons in a patient with chronic renal failure. A case studied by MRI both preoperatively and postoperatively. Knee Surg Sports Traumatol Arthrosc. 2006;14(1):55–59. doi: 10.1007/s00167-005-0626-9. - DOI - PubMed
    1. Shah MK. Simultaneous bilateral quadriceps tendon rupture in renal patients. Clin Nephrol. 2002;58(2):118–121. doi: 10.5414/CNP58118. - DOI - PubMed

Publication types