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Gouty infiltration of a flexor tendon simulating rupture
Clinical Orthopaedics and Related Research
|April 1, 1985
Summary
Gout rarely affects tendons, but a traumatic finger injury revealed urate crystal deposition in a flexor tendon. This case highlights trauma as a potential factor in tendon gout.
Area of Science:
- Orthopedic Surgery
- Rheumatology
- Sports Medicine
Background:
- Gout, a form of inflammatory arthritis, typically affects joints.
- Urate crystal deposition in tendons is an uncommon manifestation of hyperuricemia.
Observation:
- A 28-year-old man with hyperuricemia sustained a left long finger injury.
- Clinical presentation suggested a possible flexor digitorum profundus rupture.
Findings:
- Operative exploration identified gouty infiltration of the flexor tendon within its sheath.
- This finding indicates urate crystal deposition within the tendon structure.
Implications:
- Trauma may act as a predisposing factor for urate crystal deposition in tendons.
- This case expands the understanding of gout's potential musculoskeletal involvements.