Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 4/2004

01-05-2004 | Case Report

Bilateral and simultaneous rupture of the triceps tendons in chronic renal failure and secondary hyperparathyroidism

Authors: Stefanos Tsourvakas, Konstantinos Gouvalas, Christos Gimtsas, Nikolaos Tsianas, Paraskevi Founta, Nikolaos Ameridis

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2004

Login to get access

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.

Case report

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.
Literature
1.
go back to reference Cirincione RJ, Baker BE (1975) Tendon ruptures with secondary hyperparathyroidism. A case report. J. Bone Joint Surg. Br 57:852–853 Cirincione RJ, Baker BE (1975) Tendon ruptures with secondary hyperparathyroidism. A case report. J. Bone Joint Surg. Br 57:852–853
2.
go back to reference De Waal Malefijt MC, Beeker TW (1987) Avulsion of the triceps tendon in secondary hyperparathyroidism. A case report. Acta Orthop Scand 58:434–435PubMed De Waal Malefijt MC, Beeker TW (1987) Avulsion of the triceps tendon in secondary hyperparathyroidism. A case report. Acta Orthop Scand 58:434–435PubMed
3.
go back to reference Finlayson GR, Smith JC, Moore MJ (1964) Effects of chronic acidosis on connective tissue. JAMA 187:659–662PubMed Finlayson GR, Smith JC, Moore MJ (1964) Effects of chronic acidosis on connective tissue. JAMA 187:659–662PubMed
4.
go back to reference Jones N, Kjellstrand CM (1996) Spontaneous tendon rupture in patients on chronic dialysis. Am J Kidney Dis 28:861–866PubMed Jones N, Kjellstrand CM (1996) Spontaneous tendon rupture in patients on chronic dialysis. Am J Kidney Dis 28:861–866PubMed
5.
go back to reference Jorgensen F, Solgaard S (1982) Bilateral rupture of the triceps tendon in a patient receiving long-term hemodialysis. Ugeskr Laeger 144:2723PubMed Jorgensen F, Solgaard S (1982) Bilateral rupture of the triceps tendon in a patient receiving long-term hemodialysis. Ugeskr Laeger 144:2723PubMed
6.
go back to reference Levy M (1987) Brief report. Repair of triceps tendon avulsions or ruptures. J Bone Joint Surg Br 69:115PubMed Levy M (1987) Brief report. Repair of triceps tendon avulsions or ruptures. J Bone Joint Surg Br 69:115PubMed
7.
go back to reference McMaster PE (1933) Tendon and muscle ruptures. Clinical and experimental studies of the causes and subcutaneous ruptures. J Bone Joint Surg 15:705–722 McMaster PE (1933) Tendon and muscle ruptures. Clinical and experimental studies of the causes and subcutaneous ruptures. J Bone Joint Surg 15:705–722
8.
go back to reference Murphy KJ, McPhee I (1965) Tears of major tendons in chronic acidosis with elastosis. J Bone Joint Surg Br 47:1253–1258 Murphy KJ, McPhee I (1965) Tears of major tendons in chronic acidosis with elastosis. J Bone Joint Surg Br 47:1253–1258
9.
go back to reference Preston FS, Adicoff A (1962) Hyperparathyroidism with avulsion of three major tendons. Report of a case. N Engl J Med 266:968–971PubMed Preston FS, Adicoff A (1962) Hyperparathyroidism with avulsion of three major tendons. Report of a case. N Engl J Med 266:968–971PubMed
10.
go back to reference Searfoss R, Tripi J, Bowers W (1976) Triceps brachii rupture: a case report. J Trauma 16:244–246PubMed Searfoss R, Tripi J, Bowers W (1976) Triceps brachii rupture: a case report. J Trauma 16:244–246PubMed
11.
go back to reference Wagner JR, Cooney WP (1997) Rupture of the triceps muscle at the musculotendinous junction: a case report. J Hand Surg [Am] 22:341–343 Wagner JR, Cooney WP (1997) Rupture of the triceps muscle at the musculotendinous junction: a case report. J Hand Surg [Am] 22:341–343
Metadata
Title
Bilateral and simultaneous rupture of the triceps tendons in chronic renal failure and secondary hyperparathyroidism
Authors
Stefanos Tsourvakas
Konstantinos Gouvalas
Christos Gimtsas
Nikolaos Tsianas
Paraskevi Founta
Nikolaos Ameridis
Publication date
01-05-2004
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 4/2004
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-003-0628-3

Other articles of this Issue 4/2004

Archives of Orthopaedic and Trauma Surgery 4/2004 Go to the issue