Tendon Ultrasonographic Alterations in Patients on Regular Hemodialysis
Ali Hassan Abdel Meged;
Abstract
Renal failure is a major public health problem. It is
associated with increased prevalence of physical inactivity,
reduced exercise capacity and different grades of disability
(Cupisti et al., 2011). Implementation of physical activity both
during and out of the dialysis session is warranted and useful to
enhance quality of life and physical performance, and to reduce
the risk of mortality and hospitalization (Elder et al., 2005).
Bone alterations and soft-tissue calcifications are often
encountered in patients with end-stage renal disease and have
been comprehensively investigated. Less common
musculoskeletal manifestations, such as spontaneous tendon
ruptures, have been sporadically reported. Their etiology and
predisposing factors remain unknown (Brountzos et al., 2009).
The aim of this study was to investigate the frequency
and nature of the Achilles and Quadriceps tendons involvement
in patients with renal failure undergoing regular hemodialysis
in the relationship to the levels of parathyroid hormone (PTH),
using ultrasonographic evaluation.
This study included 50 patients on regular hemodialysis
in El-Sahel Teaching Hospital. All patients were stable on
hemodialysis for at least 6 months and receiving a 4-hour
dialysis session thrice weekly.
Summary
131
The patients were divided according to the level of intact
parathyroid hormone (iPTH) into 3 groups:
Group A: Included patients with serum intact PTH
concentrations < 150 pg/ml.
Group B: Included patients with intact PTH level 150-
300 pg/ml.
Group C: Included patients with overt secondary
hyperparathyroidism and PTH levels > 300 pg/mL.
The study showed that the most frequent sign was ankle
tenderness. It was present in 26% of patients in right ankle and
20% of patients in left ankle. The most common ultrasound
finding was tenderness during probing as it was presented in
26% of patients followed by calcific deposits as it was
presented in 24% of patients. There were no cases of
associated with increased prevalence of physical inactivity,
reduced exercise capacity and different grades of disability
(Cupisti et al., 2011). Implementation of physical activity both
during and out of the dialysis session is warranted and useful to
enhance quality of life and physical performance, and to reduce
the risk of mortality and hospitalization (Elder et al., 2005).
Bone alterations and soft-tissue calcifications are often
encountered in patients with end-stage renal disease and have
been comprehensively investigated. Less common
musculoskeletal manifestations, such as spontaneous tendon
ruptures, have been sporadically reported. Their etiology and
predisposing factors remain unknown (Brountzos et al., 2009).
The aim of this study was to investigate the frequency
and nature of the Achilles and Quadriceps tendons involvement
in patients with renal failure undergoing regular hemodialysis
in the relationship to the levels of parathyroid hormone (PTH),
using ultrasonographic evaluation.
This study included 50 patients on regular hemodialysis
in El-Sahel Teaching Hospital. All patients were stable on
hemodialysis for at least 6 months and receiving a 4-hour
dialysis session thrice weekly.
Summary
131
The patients were divided according to the level of intact
parathyroid hormone (iPTH) into 3 groups:
Group A: Included patients with serum intact PTH
concentrations < 150 pg/ml.
Group B: Included patients with intact PTH level 150-
300 pg/ml.
Group C: Included patients with overt secondary
hyperparathyroidism and PTH levels > 300 pg/mL.
The study showed that the most frequent sign was ankle
tenderness. It was present in 26% of patients in right ankle and
20% of patients in left ankle. The most common ultrasound
finding was tenderness during probing as it was presented in
26% of patients followed by calcific deposits as it was
presented in 24% of patients. There were no cases of
Other data
| Title | Tendon Ultrasonographic Alterations in Patients on Regular Hemodialysis | Other Titles | التغیر فى الاوتار العضلیة باستخدام الموجات فوق الصوتیة في مرضى الاستصفاء الكلوى الدموى المنتظم | Authors | Ali Hassan Abdel Meged | Issue Date | 2014 |
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