Chronic renal insufficiency gives rise to osteoarticular and tendinous alterations, with tendinous rupture reaching 3.6% among patients receiving hemodialysis. To evaluate potential tendinous and ligamentous alterations, 39 consecutive patients receiving longterm hemodialysis (mean dialysis time 33 months) were studied prospectively by clinicoradiological methods. Of the 39 cases, atlantoaxial subluxation was found in 3 (7.7%). Tendinous or ligamentous hyperlaxity was present in 29 (74%) with patellar tendon elongation in 19 (49%), articular hypermobility in 20 (51%) and both in 10. Differences were significant (p < 0.05) in patients with articular hypermobility with over 36 months' dialysis, and even more so (p < 0.01) in those with over 48 months. Atlantoaxial subluxation was more frequent after 48 months' dialysis. Therefore, patients receiving longterm hemodialysis are prone to present tendinous or ligamentous hyperlaxity with atlantoaxial subluxation as well.
Documento: | Artículo |
Título: | Tendinous and ligamentous hyperlaxity in patients receiving longterm hemodialysis |
Autor: | Rillo, O.L.; Babini, S.M.; Basnak, A.; Wainer, E.; Balbachan, E.; Cocco, J.A.M. |
Filiación: | Seccion Reumatologia, Instituto Nacional de, Rehabilitacion, Echeverria 955, 1428-Buenos Aires, Argentina |
Palabras clave: | Atlantoaxial subluxation; Hemodialysis; Joint hypermobility; Tendinous and ligamentous hyperlaxity; adult; aged; article; atlantoaxial subluxation; clinical article; controlled study; etiology; female; hemodialysis; human; joint hypermobility; kidney failure; ligament; male; priority journal; tendon; Adult; Aged; Female; Human; Joint Instability; Kidney Failure, Chronic; Ligaments; Male; Middle Age; Osteoarthritis; Prospective Studies; Renal Dialysis; Tendons; Time Factors |
Año: | 1991 |
Volumen: | 18 |
Número: | 8 |
Página de inicio: | 1227 |
Página de fin: | 1231 |
Título revista: | Journal of Rheumatology |
Título revista abreviado: | J. RHEUMATOL. |
ISSN: | 0315162X |
CODEN: | JRHUA |
Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0315162X_v18_n8_p1227_Rillo |