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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.
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.
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