Published online Sep 18, 2018. doi: 10.5312/wjo.v9.i9.180
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
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.
Bilateral rupture of the quadriceps tendon.
Femoral nerve palsy.
Blood testing revealed renal failure and anemia without other abnormalities.
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.
Tendon reinsertion through tendon-to-bone repair.
Only few cases of spontaneous bilateral rupture of the quadriceps tendon have been to date reported in the literature.
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.