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Tendinitis and tendon ruptures in successful renal transplant recipients


Agarwal-S; Owen-R Department of Orthopaedic Surgery, Royal Liverpool Hospital, England. Clin-Orthop. 1990 Mar(252): 270-5 The musculoskeletal system of 167 successful renal transplant recipients was examined for locomotor complications. Apart from avascular necrosis and spontaneous fractures, two new clinical entities were identified: tendinitis and spontaneous tendon ruptures. Tendinitis was found in the supraspinatus and calcaneal tendons in 12 patients (7.2%). Pretransplant hyperphosphatemia and posttransplant hypercalcemia were seen in patients developing tendinitis. Spontaneous tendon ruptures were observed in the calcaneal tendons in four patients (2.4%). Pretransplant hyperphosphatemia was observed in this group of patients. The cumulative dose of prednisolone was not significantly different than in asymptomatic patients.



Original Text by Clifford R. Wheeless, III, MD.