Spontaneous tendon rupture in a patient with systemic sclerosis: a case report
Abstract Background Systemic sclerosis (SSc) is an incurable autoimmune disease characterized by progressive skin fibrosis and organ failure. Tenosynovitis is a common musculoskeletal manifestation, but tendon rupture has seldom reported in SSc. Case presentation We present a rare case of a 49-year-...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05967-6 |
| _version_ | 1811304645332566016 |
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| author | Cong Lin Jun Shen Zhixing Jiang Yi Cheng Yundong Shen Guoqiang Ren Wendong Xu Weiguo Wan Ling Cao Hejian Zou Xiaoxia Zhu |
| author_facet | Cong Lin Jun Shen Zhixing Jiang Yi Cheng Yundong Shen Guoqiang Ren Wendong Xu Weiguo Wan Ling Cao Hejian Zou Xiaoxia Zhu |
| author_sort | Cong Lin |
| collection | DOAJ |
| description | Abstract Background Systemic sclerosis (SSc) is an incurable autoimmune disease characterized by progressive skin fibrosis and organ failure. Tenosynovitis is a common musculoskeletal manifestation, but tendon rupture has seldom reported in SSc. Case presentation We present a rare case of a 49-year-old female with SSc who has suffered from bilateral tendon rupture of the fourth and fifth digits with positive antinuclear antibody (ANA) and anti-centromere B antibody, but negative rheumatoid factor in serum. In the extensor tendons of the patient’s hands, inflammation, edema, hypertrophy and tendon interruption were detected with ultrasound and magnetic resonance imaging(MRI). Tendon transfer repair surgery was performed and 10 mg/week methotrexate was then used in this patient. Her hand function was improved well with methotrexate and rehabilitation treatment postoperatively. Conclusions Early detection of tenosynovitis is necessary to prevent tendon rupture in SSc patients. Ultrasound and Magnetic Resonance Imaging appear to be useful examinations for evaluating tendon pathology for early detection. |
| first_indexed | 2024-04-13T08:09:56Z |
| format | Article |
| id | doaj.art-23d8ca87cf11454ea3b096f7361b53ff |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-13T08:09:56Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-23d8ca87cf11454ea3b096f7361b53ff2022-12-22T02:55:00ZengBMCBMC Musculoskeletal Disorders1471-24742022-11-012311610.1186/s12891-022-05967-6Spontaneous tendon rupture in a patient with systemic sclerosis: a case reportCong Lin0Jun Shen1Zhixing Jiang2Yi Cheng3Yundong Shen4Guoqiang Ren5Wendong Xu6Weiguo Wan7Ling Cao8Hejian Zou9Xiaoxia Zhu10Division of Rheumatology, Huashan Hospital, Fudan UniversityDepartment of Hand Surgery, Huashan Hospital, Fudan UniversityDivision of Rheumatology, Huashan Hospital, Fudan UniversityDepartment of Ultrasound in Medicine, Huashan Hospital, Fudan UniversityDepartment of Hand Surgery, Huashan Hospital, Fudan UniversityDepartment of Pathology, Huashan Hospital North, Fudan UniversityDepartment of Hand Surgery, Huashan Hospital, Fudan UniversityDivision of Rheumatology, Huashan Hospital, Fudan UniversityDivision of Rheumatology, Huashan Hospital, Fudan UniversityDivision of Rheumatology, Huashan Hospital, Fudan UniversityDivision of Rheumatology, Huashan Hospital, Fudan UniversityAbstract Background Systemic sclerosis (SSc) is an incurable autoimmune disease characterized by progressive skin fibrosis and organ failure. Tenosynovitis is a common musculoskeletal manifestation, but tendon rupture has seldom reported in SSc. Case presentation We present a rare case of a 49-year-old female with SSc who has suffered from bilateral tendon rupture of the fourth and fifth digits with positive antinuclear antibody (ANA) and anti-centromere B antibody, but negative rheumatoid factor in serum. In the extensor tendons of the patient’s hands, inflammation, edema, hypertrophy and tendon interruption were detected with ultrasound and magnetic resonance imaging(MRI). Tendon transfer repair surgery was performed and 10 mg/week methotrexate was then used in this patient. Her hand function was improved well with methotrexate and rehabilitation treatment postoperatively. Conclusions Early detection of tenosynovitis is necessary to prevent tendon rupture in SSc patients. Ultrasound and Magnetic Resonance Imaging appear to be useful examinations for evaluating tendon pathology for early detection.https://doi.org/10.1186/s12891-022-05967-6Systemic sclerosis(SSc)TendonRuptureCase reportRheumatic disease |
| spellingShingle | Cong Lin Jun Shen Zhixing Jiang Yi Cheng Yundong Shen Guoqiang Ren Wendong Xu Weiguo Wan Ling Cao Hejian Zou Xiaoxia Zhu Spontaneous tendon rupture in a patient with systemic sclerosis: a case report BMC Musculoskeletal Disorders Systemic sclerosis(SSc) Tendon Rupture Case report Rheumatic disease |
| title | Spontaneous tendon rupture in a patient with systemic sclerosis: a case report |
| title_full | Spontaneous tendon rupture in a patient with systemic sclerosis: a case report |
| title_fullStr | Spontaneous tendon rupture in a patient with systemic sclerosis: a case report |
| title_full_unstemmed | Spontaneous tendon rupture in a patient with systemic sclerosis: a case report |
| title_short | Spontaneous tendon rupture in a patient with systemic sclerosis: a case report |
| title_sort | spontaneous tendon rupture in a patient with systemic sclerosis a case report |
| topic | Systemic sclerosis(SSc) Tendon Rupture Case report Rheumatic disease |
| url | https://doi.org/10.1186/s12891-022-05967-6 |
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