Flexor tendon rupture caused by gout: A case report

Spontaneous Flexor Tendon Ruptures of the Hand: Case Series and Review of the Literature

“…Folmar et al 30 reviewed 12 flexor tendon ruptures in nonrheumatoid hands and found that all were caused by pathologic states, such as a nonunion fracture of the lunate, exostosis of the distal radius, and chronic synovitis. Other causes of intratendinous flexor tendon rupture previously described in the literature include, and are not limited to, osteoarthritis of the pisotriquetral joint, 31 nonunion fracture of the hook of the hamate, 32 lunate dislocation, 33 accessory carpal bone, 34 gouty infiltration of the flexor tendon, 35 and tumor. 36 In 1991, Kannus and Jozsa 3 evaluated tendon specimens from 5 different sites after spontaneous ruptures in 891 patients.…”

Multiple extensor tendon ruptures caused by tophaceous gout

“…Common sites of inflammation include joints, periarticular tissues, kidneys, and tendons [7]. To the best of our knowledge, our patient represents the first case report of multiple extensor digitorum communis tendon ruptures caused by tophaceous gout, although gouty involvement of extensor pollicis longus and flexor tendons in the hand has been reported previously [3][4][5][6].…”

“…Although spontaneous tendon rupture in the hand sometimes occurs in association with rheumatoid arthritis, distal radius fractures, or osteoarthritis of the distal radio ulnar joint, few cases of tendon rupture associated with tophaceous gout have been reported [1][2][3][4]. With respect to the extensor tendons, to the best of our knowledge there are only two published reports of extensor pollicis longus tendon rupture associated with tophaceous gout [5,6].…”

L’atteinte des tendons fléchisseurs dans la maladie goutteuse. À propos d’un cas et revue de la littérature

“…Le tableau clinique peut être constitué par une atteinte tendineuse allant de la simple ténosynovite ou raideur digitale jusqu'à la rupture tendineuse spontanée [3], par un syndrome de compression nerveuse -le plus fréquent étant celui du nerf médian -soit par des dépôts sous-cutanés qui peuvent parfois fistuliser et se surinfecter [4]. Des cas d'associations entre la goutte et les nodules d'Heberden ont été rapportés [5].…”