Haydar GÖK, ?ehim KUTLAY, Seçilay GÜNEL, Merve ÖRÜCÜ

Kronik Böbrek Yetmezlikli Hastada Spontan gzole Pektoralis Minör Tendon Rüptürü

Pektoralis minör tendonunun izole rüptürü son derece nadirdir ve 4 hastada 3 kez bildirilmiLtir. Bu makale uzun süredir hemodiyalize giren ve bilateral kuadriseps tendonlarÖnda rüptür hikayesi olan, son dönem böbrek yetmezli?i (SDBY) bulunan hastadaki ilk izole spontan pektoralis minör tendon rüptürüdür. Hasta sol ön omuz ve korakoid üzerinde palpasyonla hassasiyet veren gö?üs ön duvarÖ a?rÖsÖyla baLvurdu. Manyetik rezonans görüntülemede sa?lam pektoralis major tendonuyla birlikte pektoralis minör tendonu izole rüptü- rü mevcuttu. Hasta konservatif tedavi sonrasÖ eski aktivite düzeyine döndü. Nadir olmakla birlikte pektoralis minör tendon rüptürü tanÖsÖ ön omuz a?rÖsÖyla baLvuran, öncesinde travma öyküsü olmayan SDBY hastala- rÖnda düLünülmelidir

Isolated Spontaneous Pectoralis Minor Tendon Rupture in a Patient with Chronic Renal Failure

Isolated rupture of the pectoralis minor tendon is extremely rare and has been reported 3 times in 4 pa- tients. This article describes the first case of an isolated spontaneous pectoralis minor tendon tear in an end- stage renal disease (ESRD) patient undergoing long-term hemodialysis and with a previous history of bilat- eral rupture of the quadriceps tendons.He presented with left anterior shoulderand chest wall pain with direct tenderness on palpation over the coracoid. Magnetic resonance imaging revealed an isolated tear of the pectoralis minor tendon with an intact pectoralis major tendon. The patient returned to full activities after conservative management. Although rare, the diagnosis of pectoralis minor tendon rupture should be considered in ESRD patients who present with anterior shoulder pain in the absence of an antecendent trauma.

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