一名肾病患者的髌骨和对侧股四头肌肌腱同时断裂。
SIMULTANEOUS RUPTURE OF THE PATELLAR AND CONTRALATERAL QUADRICEPS TENDONS IN A NEPHROPATHY PATIENT.
作者信息
Branco Fabio Rodrigo Toccolini, Gonçalves Wallysson Arraes
机构信息
Universidade Estadual do Oeste do Parana, Faculdade de Medicina, Hospital Universitario do Oeste do Parana, Serviço de Residencia de Ortopedia e Traumatologia, Cascavel, PR, Brazil.
出版信息
Acta Ortop Bras. 2023 Jul 31;31(4):e267719. doi: 10.1590/1413-785220233104e267719. eCollection 2023.
UNLABELLED
Simultaneous rupture of the patellar and contralateral quadriceps tendons in patients with chronic renal failure is an extremely rare condition, with few cases described in the medical literature. Several systemic pathological conditions that lead to a decline in kidney function can predispose individuals to spontaneous tendon rupture, such as rheumatological and endocrine diseases, and even gestational conditions, such as eclampsia.
OBJECTIVE
In this case report, we describe the case of a 39-year-old woman with chronic renal failure on dialysis due to a previous history of eclampsia that caused the simultaneous rupture of the patellar and contralateral quadriceps tendons.
METHODS
Data were collected by interviews, direct observation, and medical examinations, and include information about the case history, the patient's characteristics, the former interventions, and the results obtained.
RESULTS
The surgery to repair the patellar and contralateral quadriceps tendons was performed by transosseous tunnels and the Krackow technique with nonabsorbable sutures was used. The semitendinosus tendon was removed and used as reinforcement.
CONCLUSION
Patient under follow-up with good functional results in both knees.
未标注
慢性肾衰竭患者同时发生髌腱和对侧股四头肌肌腱断裂是一种极为罕见的情况，医学文献中仅有少数病例描述。几种导致肾功能下降的全身性病理状况会使个体易发生自发性肌腱断裂，如风湿性和内分泌疾病，甚至妊娠相关状况，如子痫。
目的
在本病例报告中，我们描述了一名39岁因既往子痫病史接受透析治疗的慢性肾衰竭女性，其髌腱和对侧股四头肌肌腱同时断裂的病例。
方法
通过访谈、直接观察和医学检查收集数据，包括病史、患者特征、既往干预措施及所获结果等信息。
结果
采用经骨隧道法对髌腱和对侧股四头肌肌腱进行修复手术，使用不可吸收缝线的Krackow技术。切除半腱肌肌腱并用作加强材料。
结论
患者接受随访，双膝功能恢复良好。
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