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Spontaneous rupture of the quadriceps tendon in renal failure and long-term haemodialysis

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Summary

Four cases of rupture of the quadriceps tendon in patients on long-term haemodialysis and one in terminal renal failure are reported. Biopsy showed connective tissue elastosis which is known to develop in chronic acidosis. These changes may weaken the tendons.

Résumé

Présentation de 4 ruptures spontanées du tendon quadricipital chez des patients insuffisants rénaux chroniques, ayant subi des hémodialyses, et d'une cinquième survenue dans un cas d'insuffisance rénale au stade terminal.

La biopsie du tendon quadricipital a permis de mettre en évidence une “élastose” du tissue conjonctif, dont on sait qu'elle apparaît dans les états d'acidose chronique.

Ces changements de structure peuvent ainsi affaiblir les tendons.

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References

  1. Finlayson, G. R., Smith, J. G., Moore, M. J.: Effects of chronic acidosis on connective tissue. J.A.M.A.187 659 (1964)

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  2. Lotem, M., Robson, M. D., Rosenfeld, J. B.: Spontaneous rupture of the quadriceps tendon in patients on chronic hemodialysis. Ann. Rheum. Dis.,33 428 (1974)

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  3. Murphy, K. J., McPhee, I.: Tears of major tendons in chronic acidosis and elastosis. J. Bone Joint Surg.,47-A 1253 (1965)

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  4. Preston, E. T.: Avulsion of both quadriceps tendons in hyperparathyroidism. J.A.M.A.221 406 (1972)

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology and Renal Unit, Beilinson Medical Centre, Tel Aviv University Medical School, Petah Tikva, Israel

    M. Lotem, M. Zeelenfreund, A. Fried, M. D. Robson, Z. Goldschmidt & J. B. Rosenfeld

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  1. M. Lotem
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  2. M. Zeelenfreund
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  3. A. Fried
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  4. M. D. Robson
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  5. Z. Goldschmidt
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  6. J. B. Rosenfeld
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Lotem, M., Zeelenfreund, M., Fried, A. et al. Spontaneous rupture of the quadriceps tendon in renal failure and long-term haemodialysis. International Orthopaedics 1, 149–151 (1977). https://doi.org/10.1007/BF00576319

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  • DOI: https://doi.org/10.1007/BF00576319

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