Quadriceps tendon ruptures in uremia. Treatment with surgery and 1alpha-hydroxycholecalciferol.

Abstract

Three young patients with chronic renal failure, one on regular hemodialysis, suffered bilateral quadriceps tendon ruptures. All three had uncontrolled, severe osteitis fibrosa. In two, aluminium hydroxide failed to control secondary hyperparathyroidism, while 1alpha-hydroxycholecalciferol (1alphaOHD3) given after the injury resulted in rapid resolution of the hyperparathyroidism. Prevention of tendon ruptures in uremia depends on effective control of secondary hyperparathyroidism. Treatment should involve prompt surgical repair and reversal of the osteitis fibrosa with an effective vitamin D metabolite such as 1alphaOHD3.

• Authors: A M Pierides, H A Ellis, P Aljama, D N Kerr
• Journal: Clinical nephrology (Clin Nephrol) Vol. 7 Issue 6 Pg. 271-4 (Jun 1977) ISSN: 0301-0430 [Print] Germany
• PMID: 872464 (Publication Type: Case Reports, Journal Article)

Chemical References

• Hydroxycholecalciferols

Topics

• Adolescent
• Adult
• Female
• Humans
• Hydroxycholecalciferols (therapeutic use)
• Hyperparathyroidism, Secondary (drug therapy, etiology)
• Male
• Rupture
• Tendon Injuries (etiology, surgery, therapy)
• Thigh
• Uremia (complications)