J Med Assoc Thai 2002; 85 (8):940

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Repeated Spontaneous Quadriceps Tendon Rupture in Hemodialysis Patient : A Case Report and Review of the Literature
Dandecha P Mail

A 43-year-old man experienced repeated spontaneous quadriceps tendon rupture after he had
been on regular hemodialysis for 10 years. He had undergone a long period of secondary hyper-
parathyroidism as demonstrated by high serum parathyroid hormone and alkaline phosphatase level.
He was successfully treated both times using the conservative method. The causes or risk factors,
clinical character and appropriate management of this rare morbidity in hemodialysis patients are
discussed with a literature review.
Key word : Quadriceps Tendon Rupture, Hemodialysis, Hyperparathyroidism

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