{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:54:59Z","timestamp":1770742499542,"version":"3.49.0"},"reference-count":73,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T00:00:00Z","timestamp":1705536000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Spontaneous rupture of the patellar (PTR) and quadriceps (QTR) tendon is infrequent. Systemic diseases such as diabetes mellitus, CKD, and secondary hyperparathyroidism (SHPT) are risk factors. The present cohort study aimed to evaluate risk factors associated with tendon rupture in hemodialysis (HD) patients with SHPT, as well as outcomes including surgical complications, re-ruptures, and fracture. Baseline clinical, laboratorial data, and radiographs were analyzed. Patients were followed up from March 2012 to March 2020. One-hundred thirty-one patients (\u226518\u00a0yr of age, on HD\u2009\u2265\u20096\u00a0mo, with SHPT) were included. Incidence rates of PTR and QTR were 2.3 and 1.7\/10000 HD patients\/yr, respectively. The mean age of patients with tendon rupture was 44.0\u2009\u00b1\u200911.2\u00a0yr. These patients exhibited higher serum levels of phosphorus (6.3\u2009\u00b1\u20091.5\u00a0mg\/dL vs 5.6\u2009\u00b1\u20091.1\u00a0mg\/dL; P\u2009=\u2009.005), PTH (2025.7\u2009\u00b1\u2009667.6\u00a0pg\/mL vs 1728.4\u2009\u00b1\u2009684.8\u00a0pg\/mL; P\u2009=\u2009.035), and C-reactive-protein (35.4\u2009\u00b1\u200932.9\u00a0mg\/dL vs 17\u2009\u00b1\u200924.5\u00a0mg\/dL; P\u2009=\u2009.002) compared to the group without tendon rupture. The mean follow-up was 56.7\u2009\u00b1\u200927.1\u00a0mo. No patient required a new surgical approach or experienced re-rupture. Of all patients, 31% experienced hip fracture: 50% in the group with rupture (29.5\u2009\u00b1\u200917.4\u00a0mo after the tendon rupture) vs 26% without tendon rupture (P\u2009=\u2009.015). After adjustment, the hazard ratio for hip fracture was 2.87 (95% CI, 1.27\u20136.49; P\u2009=\u2009.012). Patients with SHPT and high levels of phosphorus, PTH, and inflammatory markers were at greater risk for tendon rupture. Surgical complication rates were low. However, results suggest that tendon rupture of knee extensor mechanism in HD patient with SHPT should be regarded as a \u201cred flag\u201d for future hip fracture.<\/jats:p>","DOI":"10.1093\/jbmrpl\/ziae008","type":"journal-article","created":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T05:54:45Z","timestamp":1705730085000},"source":"Crossref","is-referenced-by-count":1,"title":["Patellar and quadriceps tendon rupture are associated with hip fracture in hemodialysis patients with severe hyperparathyroidism"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2209-9796","authenticated-orcid":false,"given":"Alinie","family":"Pichone","sequence":"first","affiliation":[{"name":"Department of Nephrology, Knee Surgery and Research, National Institute of Traumatology and Orthopedics Jamil Haddad , Rio de Janeiro, RJ 20940-070 , Brazil"},{"name":"Department of Nephrology , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"},{"name":"Federal University of Rio de Janeiro , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elicivaldo Lima","family":"Juvencio","sequence":"additional","affiliation":[{"name":"Department of Nephrology , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"},{"name":"Federal University of Rio de Janeiro , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernardo","family":"Crespo","sequence":"additional","affiliation":[{"name":"Department of Nephrology , Knee Surgery and Research, , Rio de Janeiro, RJ 20940-070 , Brazil"},{"name":"National Institute of Traumatology and Orthopedics Jamil Haddad , Knee Surgery and Research, , Rio de Janeiro, RJ 20940-070 , Brazil"},{"name":"Department of Nephrology , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"},{"name":"Federal University of Rio de Janeiro , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Perez","family":"Gomes","sequence":"additional","affiliation":[{"name":"Department of Nephrology , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"},{"name":"Federal University of Rio de Janeiro , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renata de Souza","family":"Mendes","sequence":"additional","affiliation":[{"name":"Department of Nephrology , Knee Surgery and Research, , RJ 20940-070 , Brazil"},{"name":"National Institute of Traumatology and Orthopedics Jamil Haddad, Rio de Janeiro , Knee Surgery and Research, , RJ 20940-070 , Brazil"},{"name":"Department of Nephrology , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"},{"name":"Federal University of Rio de Janeiro , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marise Rocha","family":"Godinho","sequence":"additional","affiliation":[{"name":"Department of Nephrology , Knee Surgery and Research, , Rio de Janeiro, RJ 20940-070 , Brazil"},{"name":"National Institute of Traumatology and Orthopedics Jamil Haddad , Knee Surgery and Research, , Rio de Janeiro, RJ 20940-070 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aline Cordeiro Fernandes","family":"Ladeira","sequence":"additional","affiliation":[{"name":"Department of Nephrology , Knee Surgery and Research, , Rio de Janeiro, RJ 20940-070 , Brazil"},{"name":"National Institute of Traumatology and Orthopedics Jamil Haddad , Knee Surgery and Research, , Rio de Janeiro, RJ 20940-070 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurilo","family":"Leite, Jr","sequence":"additional","affiliation":[{"name":"Department of Nephrology , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"},{"name":"Federal University of Rio de Janeiro , University Hospital Clementino Fraga Filho, , Rio de Janeiro, RJ 21941-617 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Ant\u00f4nio Matheus","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Knee Surgery and Research, National Institute of Traumatology and Orthopedics Jamil Haddad , Rio de Janeiro, RJ 20940-070 , Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,18]]},"reference":[{"issue":"2","key":"2024050604570614000_ref1","doi-asserted-by":"crossref","first-page":"192","DOI":"10.5811\/cpcem.2022.3.55675","article-title":"Simultaneous bilateral quadriceps tendon rupture in an adult man","volume":"6","author":"Doehring","year":"2022","journal-title":"Clin Pract Cases Emerg Med"},{"issue":"5","key":"2024050604570614000_ref2","doi-asserted-by":"crossref","first-page":"e63","DOI":"10.1097\/RHU.0000000000001037","article-title":"Bilateral quadriceps tendon rupture","volume":"25","author":"Govindu","year":"2019","journal-title":"J Clin Rheumatol"},{"key":"2024050604570614000_ref3","first-page":"84","article-title":"Spontaneous bilateral quadriceps tendon rupture: a case report","volume":"23","author":"Onuoha","year":"2020","journal-title":"Pan Afr Med 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