만성신부전증 환자에 있어서 대퇴사두건의 병적 파열

초록

Quadriceps tendon rupture occurs most commonly in men over 50 years of age. Two thirds of these injuries are found in normal individuals. One third of patients with these injuries have significant underlying medical conditions, such as systemic lupus erythematosus, chronic renal failure, rheumatoid arthritis, obesity, gout, hyperuricemia without gout, steroid therapy, primary and secondary hyperparathyroidism, diabetes mellitus, and acidosis secondary to chronic lead nephropathy. We report 3 cases of pathologic quadriceps tendon rupture diagnosed by physical examination and confirmed by magnetic resonance imaging in 2 patients with chronic renal failure which were treated by pull-out suture through the patellar bone and augmentation with patellar tendon.

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