Ultrasonographic Tendon Alteration in Relation to Parathyroid Dysfunction in Chronic Hemodialysis Patients

Autor: Noran O El-Azizi, Moshira H. Sabry, Dahlia A. Hussein, Ali H Abdel Meged, Sameh A Al-Hoseiny, Abdelhady Mohamed Hamada
Rok vydání: 2015
Předmět:
Zdroj: Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, Vol 8 (2015)
Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, Vol 2015, Iss 8, Pp 9-14 (2015)
ISSN: 1179-5441
DOI: 10.4137/cmamd.s20887
Popis: ObjectiveTo find the nature of tendon involvement in chronic kidney disease (CKD) patients on regular hemodialysis (RD), and its relationship to parathyroid hormone (PTH) level using ultrasonography (US).MethodA total of 50 CKD patients on RD subjected to musculoskeletal examination of knee and ankle, laboratory evaluation, and US of quadriceps tendon and Achilles tendon were involved.ResultsAnkle joint tenderness was the most frequent sign on examination. US of the Achilles tendons showed tenderness during probing in 44% patients, calcific deposition in 24% patients, abnormal peritendon tissue in 20% patients, and abnormal anteroposterior (A-P) middle and distal one-third thicknesses of the Achilles tendon in 20% and 18% patients, respectively. PTH positively correlated with the duration of dialysis, serum phosphorus level, presence of calcific deposit, and increased thickness of the Achilles tendon.ConclusionThe most common ultrasonographic finding in CKD patients on RD was Achilles tendon tenderness during probing. PTH level positively correlated with the duration of dialysis, presence of calcific deposit, and increased thickness of Achilles tendon.
Databáze: OpenAIRE