Spontaneous rupture of extensor pollicis longus tendon with tophaceous gout infiltration
- 15 June 2004
- journal article
- case report
- Published by Springer Science and Business Media LLC in Archives of orthopaedic and trauma surgery
- Vol. 125 (4), 281-284
- https://doi.org/10.1007/s00402-004-0670-9
Abstract
Spontaneous rupture of the extensor pollicis longus (EPL) tendon has been reported in the literature. Various mechanisms have been proposed to account for this problem, but gouty infiltration is a rare mechanism. Here we report a patient with a long-standing history of gout who presented with sudden loss of interphalangeal extension of the left thumb. Spontaneous rupture of the EPL tendon caused by gout was discovered. The successful treatment done involved surgical exploration and extensor indicis proprius tendon transfer. Postoperative thumb spica immobilization for 6 weeks was applied. Pathology disclosed urate crystals deposited within the ruptured EPL tendon. The functional recovery is satisfactory at the 1-year follow-up. Spontaneous rupture of the EPL tendon caused by gout is rare. Successful treatment was done with surgical management. Life-long medical follow-up to prevent a repeated acute attack can lower the risk of a large amount of tophaceous gout infiltration in tendons and may possibly prevent acute spontaneous tendon rupture.Keywords
This publication has 9 references indexed in Scilit:
- Flexor tendon rupture caused by gout: A case reportThe Journal of Hand Surgery, 2002
- Peroneus brevis tendon rupture with tophaceous gout infiltrationThe Journal of Foot and Ankle Surgery, 1999
- Pathological alterations in human tendonsArchives of orthopaedic and trauma surgery, 1990
- Spontaneous Flexor Tendon Rupture in the PalmAnnals of Plastic Surgery, 1989
- Spontaneous rupture of the extensor pollicis longus tendonThe Journal of Hand Surgery, 1987
- Gouty Infiltration of a Flexor Tendon Simulating RupturePublished by Ovid Technologies (Wolters Kluwer Health) ,1985
- Gouty tenosynovitis in the handThe Journal of Hand Surgery, 1985
- Spontaneous rupture of the Achilles tendon in a patient with gout.Annals Of The Rheumatic Diseases, 1981
- PARALYSIS OF THE UNGUAL PHALANX OF THE THUMB FROM SPONTANEOUS RUPTURE OF THE EXTENSOR POLLICIS LONGUSJournal of the American Medical Association, 1915