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Case Report
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| Simultaneous and spontaneous rupture of patellar tendon and contralateral quadriceps tendon in a patient with tertiary hyperparathyroidism: A case report |
| I López Zabala1, MC Pulido1, D Popescu1, JA Fernández-Valencia1 |
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1Department of Orthopaedic Surgery Hospital Clínic Barcelona C/ Villarroel 170. 08036 Barcelona, Spain.
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doi:10.5348/ijcri-2012-08-157-CR-4
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Address correspondence to: Ibon López Zabala Department of Orthopaedic Surgery Hospital Clínic Barcelona C/ Villarroel 170 08036 Barcelona Spain Phone: 00-34-93-227-55-33 Fax: 93 227 98 71 Email: lopez.ibon@gmail.com |
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| How to cite this article: |
| López-Zabala I, Pulido MC, Popescu D, Fernández-Valencia JA. Simultaneous and spontaneous rupture of patellar tendon and contralateral quadriceps tendon in a patient with tertiary hyperparathyroidism: A case report. International Journal of Case Reports and Images 2012;3(8):13–16. |
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Abstract
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Introduction:
Spontaneous bilateral ruptures of the extensor mechanism of the knee are rare injuries.
Case Report: A patient presented with bilateral rupture of the extensor mechanism of the knee in which a tertiary hyperparathyroidism was previously diagnosed. Tertiary hyperparathyroidism was related to a long-term dialysis for chronic renal failure and on admission, the parathyroid hormone level was 2332 pg/mL. The patient underwent surgery of the both knees and a satisfactory function was achieved. Subsequently, a parathyroidectomy was performed which resulted in a correction of the parathyroid hormone level. Conclusion: Tertiary hyperparathyroidism must be ruled out in patients with chronic renal failure. On the other hand, patients with chronic renal failure and a known hyperparathyroidism need on going and effective management to prevent spontaneous tendon rupture. Clinicians can be aware that careful management of hyperparathyroidism can prevent this severe complication. | |
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Key Words:
Patellar tendon, Quadriceps, Hyperparathyroidism, Spoutaneous
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Author Contributions:
I López Zabala – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published MC Pulido – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published D Popescu – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published JA Fernández-Valencia – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© I López Zabala et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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