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Updated: Mar 18, 2026
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Murine Flexor Tendon Injury and Repair Surgery
Published on: September 19, 2016
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Coexistent digital gouty and infective flexor tenosynovitis
Qasim Akram1, Michael Hughes2, Lindsay Muir2
1Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK.
BMJ Case Reports
|July 1, 2016
Summary
Gouty tenosynovitis is rarely diagnosed, often mistaken for infection. This case highlights the first documented instance of coexisting infection and gout in flexor tenosynovitis, emphasizing diagnostic awareness.
Area of Science:
- Orthopedics
- Rheumatology
- Infectious Diseases
Background:
- Flexor tenosynovitis of the hand commonly results from trauma or infection.
- Gouty tenosynovitis is an infrequent cause, frequently misdiagnosed as infection, leading to unnecessary surgery.
Observation:
- A 54-year-old male presented with symptoms initially treated as infective flexor tenosynovitis.
- Persistent symptoms despite initial treatment led to the discovery of concurrent gout.
Findings:
- This report details the first-ever described case of coexisting infection and gout causing flexor tenosynovitis.
- The patient's condition was initially misdiagnosed, underscoring challenges in differentiating causes of tenosynovitis.
Implications:
- Highlights the importance of considering gout in recalcitrant cases of flexor tenosynovitis.
- Suggests a need for increased clinical awareness and diagnostic vigilance for this rare condition.
- Proposes a management strategy and algorithm for clinical practice to improve patient outcomes.
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