Flexor Tendon Rupture Secondary to Gout
Extra-articular deposition of monosodium urate crystals is a widely recognized manifestation of gout. However, gouty infiltration of flexor tendons in the hand resulting in tendon rupture is exceedingly rare. This case report highlights a patient with gouty infiltration of flexor tendons in the righ...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2023-09-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772756 |
| _version_ | 1797665368133599232 |
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| author | Jeremy V. Lynn Amy L. Strong Kevin C. Chung |
| author_facet | Jeremy V. Lynn Amy L. Strong Kevin C. Chung |
| author_sort | Jeremy V. Lynn |
| collection | DOAJ |
| description | Extra-articular deposition of monosodium urate crystals is a widely recognized manifestation of gout. However, gouty infiltration of flexor tendons in the hand resulting in tendon rupture is exceedingly rare. This case report highlights a patient with gouty infiltration of flexor tendons in the right middle finger resulting in rupture of both the flexor digitorum profundus and flexor digitorum superficialis. Given the extent of gouty infiltration and need for pulley reconstruction, the patient was treated with two-stage flexor tendon reconstruction. Febuxostat was prescribed preoperatively to limit further deposition of monosodium urate crystals and continued postoperatively to maximize the potential for long-lasting results. Prednisone was prescribed between the first- and second-stage operations to prevent a gout flare while the silicone rod was in place. In summary, tendon rupture secondary to gouty infiltration is the most likely diagnosis in patients with a history of gout presenting with tendon insufficiency. |
| first_indexed | 2024-03-11T19:43:49Z |
| format | Article |
| id | doaj.art-c04e52fa14ee47cb9e3e4d79a7d09b85 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-03-11T19:43:49Z |
| publishDate | 2023-09-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-c04e52fa14ee47cb9e3e4d79a7d09b852023-10-06T06:28:53ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712023-09-01500549249510.1055/s-0043-1772756Flexor Tendon Rupture Secondary to GoutJeremy V. Lynn0https://orcid.org/0000-0001-7107-3635Amy L. Strong1https://orcid.org/0000-0002-2581-2481Kevin C. Chung2https://orcid.org/0000-0002-2822-3164Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MichiganSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MichiganSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MichiganExtra-articular deposition of monosodium urate crystals is a widely recognized manifestation of gout. However, gouty infiltration of flexor tendons in the hand resulting in tendon rupture is exceedingly rare. This case report highlights a patient with gouty infiltration of flexor tendons in the right middle finger resulting in rupture of both the flexor digitorum profundus and flexor digitorum superficialis. Given the extent of gouty infiltration and need for pulley reconstruction, the patient was treated with two-stage flexor tendon reconstruction. Febuxostat was prescribed preoperatively to limit further deposition of monosodium urate crystals and continued postoperatively to maximize the potential for long-lasting results. Prednisone was prescribed between the first- and second-stage operations to prevent a gout flare while the silicone rod was in place. In summary, tendon rupture secondary to gouty infiltration is the most likely diagnosis in patients with a history of gout presenting with tendon insufficiency.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772756gouturic acidtendon insufficiencyflexor tendon rupturehand |
| spellingShingle | Jeremy V. Lynn Amy L. Strong Kevin C. Chung Flexor Tendon Rupture Secondary to Gout Archives of Plastic Surgery gout uric acid tendon insufficiency flexor tendon rupture hand |
| title | Flexor Tendon Rupture Secondary to Gout |
| title_full | Flexor Tendon Rupture Secondary to Gout |
| title_fullStr | Flexor Tendon Rupture Secondary to Gout |
| title_full_unstemmed | Flexor Tendon Rupture Secondary to Gout |
| title_short | Flexor Tendon Rupture Secondary to Gout |
| title_sort | flexor tendon rupture secondary to gout |
| topic | gout uric acid tendon insufficiency flexor tendon rupture hand |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772756 |
| work_keys_str_mv | AT jeremyvlynn flexortendonrupturesecondarytogout AT amylstrong flexortendonrupturesecondarytogout AT kevincchung flexortendonrupturesecondarytogout |