J Korean Soc Magn Reson Med.  2012 Aug;16(2):169-172. 10.13104/jksmrm.2012.16.2.169.

Simultaneous Bilateral Quadriceps Tendon Rupture in Patient with Secondary Hyperparathyroidism due to Chronic Renal Failure: A Case Report

• Shim JJ
• Shim JC
• Ha JJ
• Lee KE
• Lee GJ
• Kim HK
• Suh JH

• KMID: 2099851
• DOI: http://doi.org/10.13104/jksmrm.2012.16.2.169

Abstract

Simultaneous bilateral spontaneous rupture of the quadriceps tendon is a very rare condition and only a few cases have been reported in the literature. The etiology is not clear yet. But it occurs infrequently in patients with chronic metabolic disorders, such as secondary hyperparathyroidism due to chronic renal failure. We describe a case of simultaneous spontaneous bilateral quadriceps tendon tupture in a 36-year-old male patient with secondary hyperaprathyroidism due to chronic renal failure.

Keyword

Quadriceps; Hyperparathyroidism; Magnetic resonance imaging (MRI)

MeSH Terms

Adult
Humans
Hyperparathyroidism
Hyperparathyroidism, Secondary
Kidney Failure, Chronic
Male
Rupture
Rupture, Spontaneous
Tendons

Figure

• 

  Fig. 1 Lateral radiographs of right (a) and left (b) knees demonstrate suprapatellar soft tissue swelling and irregular shaped calcifications in the suprapatellar soft tissue (arrow in a).

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  Fig. 2 Sagittal T1 (TR 316.7, TE 11.2) and T2-weighted (TR 4083.3, TE 90.0) MR images of the right (a, b) and left (c, d) knees reveal disruption of the quadriceps tendons from the superior pole of the patella and proximal retraction of the torn (arrows in b and d). Joint effusion fluid and extensive deep and superficial soft tissue edema is seen around quadriceps tendon on T2-weighted image.

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