糖尿病血液透析患者双侧髌腱同时断裂：一例报告
Simultaneous bilateral rupture of patellar tendons in diabetic hemodialysis patient: A case report.
作者信息
Torkaman Ali, Yousof Gomrokchi Alireza, Elahifar Omid, Barmayoon Pooyan, Shojaei Seyedeh Fahimeh
机构信息
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Firoozgar Clinical Research and Development Center, (FCRDC) , Iran University of Medical Sciences, (IUMS) , Tehran, Iran.
出版信息
Caspian J Intern Med. 2018 Summer;9(3):306-311. doi: 10.22088/cjim.9.3.306.
BACKGROUND
Bilateral rupture of the patellar tendon is a very rare injury, which takes place in relation to chronic systemic diseases. These injuries are known causes. Some of these causes are particular in patellar tendon rupture and another are in quadriceps tendon rupture.
CASE PRESENTATION
70-year-old diabetic man with simultaneous bilateral patellar tendon disruption of proximal insertion without trauma, receiving long-term hemodialysis.
CONCLUSIONS
In the present study, we report a case of patellar tendon rupture that has two differences with literature: first, renal failure is a known risk factor for quadriceps tendon rupture, and secondly, the prevalent age of patellar tendon rupture is less than 40 years. Clinical picture, diagnosis, pathogenesis and treatment are discussed. Finally, the literature is reviewed based on previous studies.
背景
双侧髌腱断裂是一种非常罕见的损伤，与慢性全身性疾病有关。这些损伤是已知病因。其中一些病因在髌腱断裂中较为特殊，另一些则在股四头肌肌腱断裂中较为特殊。
病例报告
一名70岁的糖尿病男性，在无外伤情况下同时发生双侧髌腱近端附着点断裂，正在接受长期血液透析。
结论
在本研究中，我们报告了一例髌腱断裂病例，该病例与文献有两点不同：第一，肾衰竭是股四头肌肌腱断裂的已知危险因素；第二，髌腱断裂的高发年龄小于40岁。本文讨论了其临床表现、诊断、发病机制及治疗方法。最后，根据以往研究对文献进行了综述。
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