title: Bilateral and simultaneous rupture of the triceps tendons in chronic renal failure and secondary hyperparathyroidism.
abstract: BACKGROUND
  We report a case of a 27-year-old (male) patient with bilateral and simultaneous rupture of the triceps tendons. He was suffering from chronic renal failure secondary to acute glomerulonephritis and for 4 years he underwent maintenance hemodialysis three times a week. This injury is extremely rare, and only one case has been reported in the international literature. Based on previous cases of tendon ruptures in patients with chronic renal failure, we believe that secondary hyperparathyroidism is the primary causative factor in his case.
  
  
  METHODS
  A primary repair was performed using heavy, nonabsorbable sutures passed through holes drilled in the olecranon with the technique described by Levy. The suture line was then protected with a figure-of-eight tension band wire. Our patient obtained full range of motion bilaterally within 3 months.
authors.affiliation: Orthopaedic Department, General Hospital of Trikala, 9, Dorotheou Str., 42100 Trikala, Greece. tsourvakas@hotmail.com
authors.forename: Stefanos
authors.initials: S
authors.lastname: Tsourvakas
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Gouvalas
authors.forename: Christos
authors.initials: C
authors.lastname: Gimtsas
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Tsianas
authors.forename: Paraskevi
authors.initials: P
authors.lastname: Founta
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Ameridis
mesh_terms: D000328:Adult; D004550:Elbow / Q000601:surgery; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D012421:Rupture; D013708:Tendon Injuries / Q000150:complications* / Q000601:surgery; D000092464:Elbow Injuries