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Simultaneous bilateral quadriceps tendon rupture in renal patients
1Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Boston, MA, USA. mrugshah@hotmail.com
Clinical Nephrology
|September 14, 2002
Summary
Simultaneous bilateral quadriceps tendon ruptures are linked to renal disease. While functional recovery is good, longer dialysis duration may increase spontaneous rupture risk, a complication of chronic kidney failure.
Area of Science:
- Orthopedics
- Nephrology
- Biomedical Engineering
Background:
- Simultaneous bilateral quadriceps tendon rupture is a rare injury.
- Patients with renal disease are at increased risk for this injury.
- The correlation between renal disease duration, dialysis duration, and tendon rupture is not fully understood.
Purpose of the Study:
- To investigate factors associated with simultaneous bilateral quadriceps tendon rupture in patients with renal disease.
- To explore the relationship between the duration of renal disease and dialysis and the occurrence of tendon ruptures.
- To characterize patient demographics, injury specifics, and outcomes in this patient population.
Main Methods:
- A systematic literature review was conducted using MEDLINE to identify all reported cases of simultaneous bilateral quadriceps tendon rupture.
- Data from 65 reviewed cases were analyzed, with a specific focus on the 24 cases involving patients with renal disease.
- Information regarding patient demographics, medical history, injury characteristics, treatment, and functional outcomes was extracted and reviewed.
Main Results:
- Of 65 cases, 24 involved patients with renal disease, predominantly males (2:1 ratio) with a mean age of 36 years.
- Most patients (63%) exhibited signs of secondary hyperparathyroidism. Average renal disease duration was 13 years, and dialysis duration was 6.5 years.
- No significant relationship was found between various factors (age, gender, hyperparathyroidism, disease/dialysis duration) and functional outcome, although dialysis duration correlated with the mechanism of injury.
Conclusions:
- Patients with renal disease experiencing simultaneous bilateral quadriceps tendon rupture generally achieve good functional recovery.
- The duration of dialysis is identified as a significant factor related to spontaneous tendon rupture.
- Spontaneous tendon rupture should be recognized as a potential complication associated with chronic renal failure and prolonged dialysis treatment.