Zribi W, Zribi M, Guidara AR, Ben Jemaa M, Abid A, Krid N, Naceur A, Keskes H. Spontaneous and simultaneous complete bilateral rupture of the quadriceps tendon in a patient receiving hemodialysis: A case report and literature review. World J Orthop 2018; 9(9): 180-184 [PMID: 30254975 DOI: 10.5312/wjo.v9.i9.180]
Corresponding Author of This Article
Ahmed Racem Guidara, MD, Doctor, Surgeon, Department of Orthopaedic Surgery and Traumatology, Habib Bourguiba University Hospital, El Ain Street, Sfax 3000, Tunisia. rassimou@live.fr
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Sep 18, 2018; 9(9): 180-184 Published online Sep 18, 2018. doi: 10.5312/wjo.v9.i9.180
Spontaneous and simultaneous complete bilateral rupture of the quadriceps tendon in a patient receiving hemodialysis: A case report and literature review
Wassim Zribi, Mohamed Zribi, Ahmed Racem Guidara, Mohamed Ben Jemaa, Ameur Abid, Nabil Krid, Abdessalem Naceur, Hassib Keskes
Wassim Zribi, Mohamed Zribi, Ahmed Racem Guidara, Mohamed Ben Jemaa, Ameur Abid, Abdessalem Naceur, Hassib Keskes, Department of Orthopaedic Surgery and Traumatology, Habib Bourguiba University Hospital, Sfax 3000, Tunisia
Nabil Krid, Department of Orthopaedic Surgery and Traumatology, Marechal Leclerc Argentan Hospital, Argentan 61200, France
Author contributions: Zribi W and Zribi M performed the surgery; Guidara AR is the corresponding author, he wrote the great part of the manuscript; Ben Jemaa M, Krid N and Abid A contributed in gathering the data and writing the manuscript; Naceur A corrected some grammar mistakes and contributed in the improvement of English language; Keskes H corrected the hole manuscript and gave his permission for submitting.
Informed consent statement: The patient involved in this study gave her written informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: None of the authors have any financial or other conflicts of interest that may bias the current study.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ahmed Racem Guidara, MD, Doctor, Surgeon, Department of Orthopaedic Surgery and Traumatology, Habib Bourguiba University Hospital, El Ain Street, Sfax 3000, Tunisia. rassimou@live.fr
Telephone: +216-22-650267
Received: May 8, 2018 Peer-review started: May 8, 2018 First decision: June 5, 2018 Revised: June 18, 2018 Accepted: June 28, 2018 Article in press: June 28, 2018 Published online: September 18, 2018
ARTICLE HIGHLIGHTS
Case characteristics
This case involves spontaneous bilateral rupture of the quadriceps tendon in a patient with renal failure receiving hemodialysis. Accordingly, we present clinical particularities, imaging data, and the management employed.
Clinical diagnosis
Bilateral rupture of the quadriceps tendon.
Differential diagnosis
Femoral nerve palsy.
Laboratory diagnosis
Blood testing revealed renal failure and anemia without other abnormalities.
Imaging diagnosis
Knee radiographs revealed lowering of the patella with diffuse bone demineralization caused by renal failure. Magnetic resonance imaging confirmed the diagnosis of bilateral rupture of the quadriceps tendon.
Treatment
Tendon reinsertion through tendon-to-bone repair.
Related reports
Only few cases of spontaneous bilateral rupture of the quadriceps tendon have been to date reported in the literature.
Experiences and lessons
This case will help improve the understanding of the management of bilateral rupture of the quadriceps tendon, which is a rare injury. The main lesson learned was that early diagnosis and surgical repair are essential for achieving the best outcomes.
