Wu Weiqian, Wang Chongyang, Ruan Jianwei, Wang Haibao, Huang Yang, Zheng Wenbiao, Chen Fanghu
Department of Orthopedics.
Department of Respiration, Taizhou Municipal Hospital, Taizhou, Zhejiang, China.
Medicine (Baltimore). 2019 Mar;98(10):e14809. doi: 10.1097/MD.0000000000014809.
Simultaneous spontaneous bilateral quadriceps tendon rupture is a rare orthopedic injury; its initial diagnosis is misdiagnosed in up to 50% of patients with secondary hyperparathyroidism. Early diagnosis and surgical repair are important to achieve an excellent functional outcome.
We report a case of simultaneous spontaneous bilateral quadriceps tendon rupture associated with secondary hyperparathyroidism.
Magnetic resonance imaging showed that the quadriceps tendon was completely ruptured at the osteotendinous junction. We then found bilateral quadriceps tendon rupture during the operation.
The patient underwent successful tendon repair surgery.
The 31-year-old female patient regained full active movement of both knee joints and was able to participate in her activities of daily living.
Simultaneous spontaneous bilateral quadriceps tendon rupture in a patient with secondary hyperparathyroidism (undergoing hemodialysis) is a rare orthopedic injury that can be easily overlooked at the initial presentation. Early diagnosis and surgical repair is important to achieve an excellent functional outcome. For patients with secondary hyperparathyroidism receiving hemodialysis, strict systematic treatment of hyperparathyroidism is needed to prevent rupture or re-rupture of the quadriceps tendon.
双侧股四头肌肌腱同时自发性断裂是一种罕见的骨科损伤；在继发性甲状旁腺功能亢进患者中，其初始诊断误诊率高达50%。早期诊断和手术修复对于获得良好的功能预后很重要。
我们报告一例与继发性甲状旁腺功能亢进相关的双侧股四头肌肌腱同时自发性断裂病例。
磁共振成像显示股四头肌肌腱在骨腱交界处完全断裂。我们随后在手术中发现双侧股四头肌肌腱断裂。
患者接受了成功的肌腱修复手术。
这位31岁的女性患者恢复了双膝关节的完全主动活动，能够参与日常生活活动。
继发性甲状旁腺功能亢进（正在接受血液透析）患者出现双侧股四头肌肌腱同时自发性断裂是一种罕见的骨科损伤，在初次就诊时很容易被忽视。早期诊断和手术修复对于获得良好的功能预后很重要。对于接受血液透析的继发性甲状旁腺功能亢进患者，需要严格系统地治疗甲状旁腺功能亢进，以防止股四头肌肌腱断裂或再次断裂。
