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Intra-tendinous gout in a repaired flexor digitorum profundus.

D C G Sainsbury¹, N Hidvegi, J W Blair

¹Department of Plastic Surgery, Queen Victoria Hospital, East Grinstead, West Sussex, UK. sainsburydave@hotmail.com

The Journal of Hand Surgery, European Volume

|May 3, 2008

Summary

Gout deposits can form at flexor tendon repair sites years after surgery, causing decreased finger flexion and triggering. This case highlights a rare complication of flexor digitorum profundus repair.

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Area of Science:

Hand surgery
Rheumatology
Pathology

Background:

Flexor digitorum profundus (FDP) repair is a common surgical procedure.
Complications can arise years after initial repair.
Tendon healing and potential long-term consequences require ongoing investigation.

Observation:

A patient experienced decreased finger flexion and triggering.
Symptoms manifested 7 years after a zone IIc FDP repair.
Chalky-white deposits were noted at the previous surgical site.

Findings:

Histological examination confirmed the deposits as gout.
Gout deposition occurred at the site of the FDP tendon repair.
This represents an unusual late complication of tendon surgery.

Implications:

Gout should be considered in the differential diagnosis of late-onset FDP repair complications.
Further research is needed to understand the pathogenesis of crystal deposition in repaired tendons.
This finding may inform surgical techniques and post-operative management to mitigate long-term risks.