24326Array
(
    [TITRE_TRAVAIL] => Array
        (
            [0] => spontaneous and simultaneous bilateral rupture of the quadricipital tendon in parathyroid adenoma: about a case and review of the literature
        )

    [etablissement] => Array
        (
            [0] => service de chirurgie orthopedique et traumatologie kairouan
        )

    [nom] => Array
        (
            [0] => chatbouri
        )

    [prenom] => Array
        (
            [0] => farouk
        )

    [email] => Array
        (
            [0] => chatbourifarouk@gmail.com
        )

    [telephone] => Array
        (
            [0] => 23051083
        )

    [auteurs] => Array
        (
            [0] => 
 
Nom prénom: mansi zied
Email: 
Hôpital: 

 
Nom prénom: chneti islem
Email: 
Hôpital: 

 
Nom prénom: haggui ali
Email: 
Hôpital: 

 
Nom prénom: rbai hedi
Email: 
Hôpital: 

        )

    [mots_cles] => Array
        (
            [0] => quadricipital tendon;
bilateral;
reconstruction;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
        (
            [0] => 1
        )

    [forme] => Array
        (
            [0] => none
        )

    [abstract] => Array
        (
            [0] => https://www.sotcot.tn/wp-content/uploads/gravity_forms/1-734bfe19ec36a1528718899bf7a2927f/2024/03/RUPTURE-BILATERALE-SPONTANEE-ET-SIMULTANEE-DU-TENDON-QUADRICIPITAL1.docx
        )

    [user_email] => Array
        (
            [0] => Chatbourifarouk@gmail.com
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => INTRODUCTION :
Spontaneous ruptures of the quadriceps tendon are rare. They occur according to an indirect mechanism by contracture of the extensor apparatus . When there is no notion of trauma, we must look for a systemic disease that could weaken the tendons 
PATIENT AND OBSERVATION:
We report a case of a patient aged 53, followed for chronic renal failure and hypercalcemia secondary to parathyroid adenoma , admitted for management of ruptures of the quadriceps tendons in both knees.
via an anterior median longitudinal approach centered on the upper edge of the patella for both knees the exploration showed a complete rupture of the tendon fibers with a jagged edge. We proceeded to suture edge to edge using “U” stitches with trans-osseous stitches resting on the patella. Both knees were immobilized with knee braces for 3. The patient underwent a functional rehabilitation. We had evaluated the functional result using the Knee Society Clinical Rating System score which was good at 3 excellent at 6 months.
DISCUSSION :
Primary hyperparathyroidism is a common condition; its treatment is surgical by excision of the parathyroid adenoma . Several studies have shown musculoskeletal manifestations in primary hyperparathyroidism. Spontaneous and bilateral simultaneous ruptures of the quadriceps tendon are mainly encountered in the context of a pathology weakening the tendons. In our study, it was a parathyroid adenoma .
 CONCLUSION :
Spontaneous and simultaneous bilateral ruptures of the quadriceps tendon are exceptional. A pathology weakening the tendons remains the main cause. In several studies we have found primary hyperparathyroidism whatever the cause, but in our case the cause was a parathyroid adenoma.
        )

    [rank_math_internal_links_processed] => Array
        (
            [0] => 1
        )

    [ple-content_has_sections] => Array
        (
            [0] => 
        )

    [_eael_post_view_count] => Array
        (
            [0] => 21
        )

    [trx_addons_post_views_count] => Array
        (
            [0] => 19
        )

    [ekit_post_views_count] => Array
        (
            [0] => 19
        )

    [trx_addons_post_likes_count] => Array
        (
            [0] => 0
        )

)