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Spontaneous and simultaneous rupture of both Achilles tendons in a haemodialysis patient
  1. Karim Masmoudi1,
  2. Maher Khlifi1,
  3. Kaouther Jameli2 and
  4. Hatem Jellali1
  1. 1Orthopedic Surgery department, Sidi Bouzid Hospital, Sidi Bouzid, Tunisia
  2. 2Forensic Medicine Department, Sidi Bouzid Hospital, Sidi Bouzid, Tunisia
  1. Correspondence to Dr Karim Masmoudi; mkfms{at}


This case involved a male patient in his 30s who sustained a spontaneous and simultaneous bilateral rupture of the Achilles tendons. His medical history was significant for end-stage renal failure for which he had been undergoing haemodialysis for 13 years, and parathyroidectomy 2 years before this presentation. The patient underwent an open repair of both Achilles tendons using gastrocnemius augmentation with a favourable final outcome. The radical control of secondary hyperparathyroidism in haemodialysis patients does not protect the patient from the occurrence of spontaneous tendon rupture in all cases.

  • Orthopaedics
  • Chronic renal failure
  • Dialysis
  • Tendon rupture

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  • Contributors KM drafted the work. HJ conceptualised and acquired data. KJ analysed and interpreted data. MK conceptualised and revised the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.