title: Neglected rupture of the quadriceps tendon in a patient with chronic renal failure (case report and review of the literature).
abstract: Spontaneous ruptures of the quadriceps tendon are infrequent injuries, it is seen primarily in patients with predisposing diseases such as gout, rheumatoid arthritis and chronic renal failure. A 32-year-old man had a history of end stage renal disease and received regular hemodialysis treatment for more than 5 years. He was admitted in our service for total functional impotence of the right lower limb with knee pain after a common fall two months ago. The radiogram showed a ''patella baja" with suprapatellar calcifications. The ultrasound and MRI showed an aspect of rupture of the quadriceps tendon in its proximal end with retraction of 3 cm. Quadriceps tendon repair was performed with a lengthening plasty, and the result was satisfactory after a serial rehabilitation program. The diagnosis of quadriceps tendon ruptures needs more attention in patients with predisposing diseases. They should not be unknown because the treatment of neglected lesions is more difficult. We insist on the early surgical repair associated with early rehabilitation that can guarantee recovery of good active extension.
authors.affiliation: Service of trauma and orthopedics Avicenne Hospital Chu Ibn Sina Rabat Morocco.
authors.forename: Zouhir Ameziane
authors.initials: ZA
authors.lastname: Hassani
authors.affiliation: Service of trauma and orthopedics Avicenne Hospital Chu Ibn Sina Rabat Morocco.
authors.forename: Moncef
authors.initials: M
authors.lastname: Boufettal
authors.affiliation: Service of trauma and orthopedics Avicenne Hospital Chu Ibn Sina Rabat Morocco.
authors.forename: Moustapha
authors.initials: M
authors.lastname: Mahfoud
authors.affiliation: Service of trauma and orthopedics Avicenne Hospital Chu Ibn Sina Rabat Morocco.
authors.forename: Moradh
authors.initials: M
authors.lastname: Elyaacoubi
mesh_terms: D000328:Adult; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010146:Pain / Q000209:etiology*; D052097:Quadriceps Muscle; D012421:Rupture; D013708:Tendon Injuries / Q000209:etiology* / Q000473:pathology / Q000601:surgery
keywords: Quadriceps tendon; lengthening plasty; renal failure; spontaneous rupture