# Breaking point: Case series of tendon ruptures in Hemodialysis patients

## TL;DR

This case series reports spontaneous tendon ruptures in hemodialysis patients, highlighting the need for timely intervention to avoid long-term mobility issues.

## Contribution

The paper presents a novel case series of six tendon ruptures in three ESKD patients and explores potential biochemical contributors.

## Key findings

- Six spontaneous tendon ruptures occurred in three ESKD patients undergoing hemodialysis.
- The patients required surgical repair and a multifaceted approach for recovery.
- Biochemical parameters may play a role in the disease process of tendon ruptures in ESKD.

## Abstract

Spontaneous tendon ruptures in end stage kidney disease patients have the potential to cause long- term morbidity, and timely intervention is required to prevent complications that can severely affect the functional status of the patient

A series of six tendons (two triceps tendons and two bilateral quadriceps tendons) in three patients with ESKD undergoing hemodialysis is discussed in this case series. Patients were aged 61, 44 and 26 years, and on hemodialysis for 5, 5 and 10 years, respectively.

End -stage kidney disease is associated with a multitude of physiological changes, and the musculoskeletal system is no exception to this. Spontaneous tendon rupture is a multifactorial complication of ESKD, with serious implications for mobility and quality of life. As a result, these patients require a multifaceted approach to ensure optimum results and an early return to activity. We report a series of 6 spontaneous tendon ruptures in 3 patients with ESKD at our institution. We would like to outline the methods of repair for each case and further attempt to assess biochemical parameters that may have contributed to the disease process.