[症例報告]透析患者における大腿四頭筋腺断裂4例の治療経験
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We report seven quadriceps tendon ruptures in four patients on chronic hemodialysis. The mean age of the patients was 40.0 years and the mean duration of hemodialysis therapy was 8.0 years. Five ruptures occurred when the patients slipped and tried to stop falling to the ground, one rupture when the patient jumped down 1 meter height and one spontaneously without any special strain. Ruptured tendons were sutured to the patella in all four patients. After surgery and following physical therapy, all patients were able to walk without any assistance, but three needed hand rail when going downstairs. In all these cases, secondary hyperparathyroidism (PTH averaged 53.5 ng/ml) was observed. Histological findings suggested that bone resorption at the tendo-osseous junction due to secondary hyperparathyroidism was a predisposing factor of quadriceps tendon rupture.
- 琉球医学会,Ryukyu Medical Associationの論文
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