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Shim, Shim, Ha, Lee, Lee, Kim, and Suh: Simultaneous Bilateral Quadriceps Tendon Rupture in Patient with Secondary Hyperparathyroidism due to Chronic Renal Failure: A Case Report
Case Report
Journal of the Korean Society of Magnetic Resonance in Medicine

Journal of the Korean Society of Magnetic Resonance in Medicine 2012; 16(2): 169-172.

Published online: 31 August 2012

DOI: https://doi.org/10.0000/jksmrm.2012.16.2.169

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

Jong Joon Shim1, Jae Chan Shim1, Jeong Ju Ha2, Kyoung Eun Lee1, Ghi Jai Lee1, Ho Kyun Kim1, Jung Ho Suh1

1Department of Radiology, Seoul Paik Hospital, InJe University College of Medicine, Korea.

2Department of Orthopedic Surgery, Seoul Paik Hospital, InJe University College of Medicine, Korea.

Corresponding author: Jae Chan Shim, M.D., Department of Radiology, Inje University College of Medicine, Seoul Paik Hospital, 85 Jeo-dong 2nd street, Jung-gu, Seoul 100-032, Korea. Tel. 82-2-2270-0139, Fax. 82-2-2266-2799, jcshim@unitel.co.kr

Received 7 June 2012       Revised 30 July 2012       Accepted 30 July 2012

Copyright © 2012 Korean Society of Magnetic Resonance in Medicine

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.

Keywords: Quadriceps, Hyperparathyroidism, Magnetic resonance imaging (MRI)

Figures and Tables

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).
jksmrm-16-169-g001
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.
jksmrm-16-169-g002

References

1. Dunnick NR. Image interpretation session: 1999. Bilateral quadriceps tendon rupture and multiple brown tumors in a patient with secondary hyperparathyroidism. Radiographics. 2000. 20:262–263.
2. Calvo E, Ferrer A, Robledo AG, Alvarez L, Castillo F, Vallejo C. Bilateral simultaneous spontaneous quadriceps tendons rupture. A case report studied by magnetic resonance imaging. Clin Imaging. 1997. 21:73–76.
3. Lee YS, Son SB, Han CW, Kang SW. Bilateral simultaneous quadriceps tendon rupture in a patient with secondary hyperparathyroidism: a case report. J Korean Radiol Soc. 2001. 45:507–511.
4. Lombardi LJ, Cleri DJ, Epstein E. Bilateral spontaneous quadriceps tendon rupture in a patient with renal failure. Orthopedics. 1995. 18:187–191.
5. Shah MK. Simultaneous bilateral rupture of quadriceps tendons: analysis of risk factors and associations. South Med J. 2002. 95:860–866.
6. Anderson WE 3rd, Habermann ET. Spontaneous bilateral quadriceps tendon rupture in a patient on hemodialysis. Orthop Rev. 1988. 17:411–414.
7. Bhole R, Flynn JC, Marbury TC. Quadriceps tendon ruptures in uremia. Clin Orthop. 1985. 195:200–206.
8. Newberg A, Wales L. Radiographic diagnosis of quadriceps tendon rupture. Radiology. 1977. 125:367–371.
9. De Franco P, Varghese J, Brown WW, Bastani B. Secondary hyperparathyroidism, and not beta 2-microglobulin amyloid, as a cause of spontaneous tendon rupture in patients on chronic homodialysis. Am J kidney Dis. 1994. 24:951–955.
10. Meneghello A, Bertoli M. Tendon disease and adjacent bone erosion in dialysis patients. Br J Radiol. 1983. 56:915–920.
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