A 38-year-old man with End-stage renal disease presents with progressive difficulty walking after a minor injury. What’s the underlying orthopedic issue?
A 38-year-old man with end-stage renal disease who was undergoing hemodialysis presented to the hospital with several years of progressive difficulty in walking. Four years before presentation, acute pain and swelling in both knees had developed after he had stepped off an auto rickshaw. At that time, he had opted for conservative management of his injuries. On physical examination at the current presentation, there was a soft-tissue depression proximal to the patella on both sides (left). A palpable suprapatellar gap was also present on both sides at the site of the expected quadriceps tendon insertion (right). The patient was unable to extend his knees and walked with flexed knees. What is the most likely diagnosis?
What is the most likely diagnosis?
End-stage renal disease, Knee pain, Orthopedics, Quadriceps tendon ruptures, Secondary hyperparathyroidism
