Moerenhout Kevin, Gkagkalis Georgios, Benoit Benoit, Laflamme Georges Yves
Orthopedic Surgery, Department of Surgery, 5400 Boul Gouin O, Hôpital du Sacré-Cœur de Montréal, Montréal, QC, Canada H4J 1C5.
Service of Orthopaedics and Traumatology, Lausanne University Hospital, Rue du Bugnon 46, CH-1011 Lausanne, Switzerland.
Case Rep Orthop. 2018 Aug 5;2018:7602096. doi: 10.1155/2018/7602096. eCollection 2018.
Quadriceps tendon ruptures (QTR) frequently occur in patients with end-stage renal failure, while triceps brachii tendon ruptures (TTR) are less common. This is the first properly documented report of a simultaneous ipsilateral traumatic rupture of both of these tendons.
A 50-year-old patient, on hemodialysis for end-stage renal failure, fell on his right side. He presented with sudden right knee and elbow pain, with functional impairment of both joints. X-rays showed avulsion-like osseous lesions on the olecranon and patella with a low-riding patella. Ultrasound confirmed complete quadriceps and triceps avulsion ruptures. Both lesions were treated surgically. Fixation was performed with anchors using the Krackow suture technique for both tendons. Postoperative clinical and radiological results were satisfactory, and follow-up was uneventful. The patient regained his preinjury functional level with a complete range of motion of both his knee and elbow.
Isolated QTR and TTR are frequent lesions in chronic renal failure patients treated with hemodialysis. Simultaneous ipsilateral rupture of both tendons however is extremely rare and should therefore not be overlooked. Surgical treatment is recommended for complete ruptures.
股四头肌肌腱断裂（QTR）在终末期肾衰竭患者中经常发生，而肱三头肌肌腱断裂（TTR）则较少见。本文是首例关于同侧这两条肌腱同时发生创伤性断裂的详细记录报告。
一名50岁的终末期肾衰竭患者接受血液透析治疗，右侧摔倒。他出现右膝和右肘突然疼痛，双关节功能受损。X线显示鹰嘴和髌骨有撕脱样骨质病变，髌骨低位。超声证实股四头肌和肱三头肌完全撕脱断裂。两处损伤均行手术治疗。使用锚钉并采用Krackow缝合技术对两条肌腱进行固定。术后临床和影像学结果满意，随访过程顺利。患者膝关节和肘关节均恢复了完整的活动范围，恢复到受伤前的功能水平。
孤立性QTR和TTR在接受血液透析治疗的慢性肾衰竭患者中是常见损伤。然而，同侧两条肌腱同时断裂极为罕见，因此不应被忽视。对于完全断裂，建议手术治疗。
Zotero 插件
