Spontaneous flexor tendon rupture due to an insufficiency fracture of the hamate hook in a patient with systemic lupus erythematosus: A case report

Hosokawa, Tomokazu; Oda, Ryo; Toyama, Shogo; Taniguchi, Daigo; Tokunaga, Daisaku; Fujiwara, Hiroyoshi; Kubo, Toshikazu

doi:10.1016/j.ijscr.2016.06.052

Cited by 11 publications

(6 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Melamed’s case [ 11 ], as bilateral multiple renal artery microaneurysms consistent with PAN diagnosis, the patient received methylprednisolone 1 g daily for three days followed by oral prednisone 60 mg daily and a pulse of intravenous cyclophosphamide 1000 mg. However, if the ruptured place was constituted of connective tissue, such as the junction between the renal pelvis and kidney [ 7 ], steroids were reduced or stopped to encourage healing due to the reason that glucocorticoids have a catabolic effect on connective tissue, muscle, fat, skin and wound healing [ 26 ]. In our case, the patient presented with high disease activity; after the resolution of the bleeding and restoration of hemodynamic stability, she was given intravenous pulses of methylprednisolone and had an uneventful recovery.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous perirenal hemorrhage in systemic lupus erythematosus: a rare case report and literature review

et al. 2021

View full text Add to dashboard Cite

Background Spontaneous perirenal hemorrhage is relatively uncommon but may be life-threatening. There are some challenges in early diagnosis due to the lack of specific presentations. Case presentation We report a case of spontaneous perirenal hemorrhage in a newly diagnosed systemic lupus erythematosus patient who initially presented with non-specific flank pain. Weakness and unstable vital signs were noted on admission. Abdominal ultrasonography and computed tomography revealed a sizable perirenal hematoma over the left retroperitoneal cavity. Renal arteriography identified active extravasation of contrast media from a distant branch of the left renal artery, and selective embolization effectively obliterated the bleeding spot. After cessation of bleeding, the patient received intensive immunosuppressive therapy for acute kidney injury and encephalopathy due to lupus. Her mental status recovered successfully, and she was withdrawn from short-term hemodialysis. Conclusions Spontaneous perirenal hemorrhage in the condition of systemic lupus erythematosus was a rare clinical entity with life-threatening potential. Early accurate diagnosis of spontaneous renal hemorrhage requires both detailed clinical examination and radiologic studies. Interventional embolization is essential and effective for both diagnosis and treatment. A high index of suspicion is necessary to avoid missing this potentially fatal syndrome, especially in patients with an increased risk of bleeding.

show abstract

Section: Discussionmentioning

confidence: 99%

Spontaneous perirenal hemorrhage in systemic lupus erythematosus: a rare case report and literature review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In a recently published case report, El Ouazi et al showed the value of US and MRI in the diagnosis of bilateral patellar tendon rupture in a patient with SLE [ 50 ]. Hosokawa et al highlighted the case and the imaging findings of a SLE patient with spontaneous rupture of the flexor tendon of the little finger [ 51 ].…”

Section: Sle Arthropathymentioning

confidence: 99%

Imaging of Joint and Soft Tissue Involvement in Systemic Lupus Erythematosus

et al. 2021

View full text Add to dashboard Cite

Purpose of Review To highlight the potential uses and applications of imaging in the assessment of the most common and relevant musculoskeletal (MSK) manifestations in systemic lupus erythematosus (SLE). Recent Findings Ultrasound (US) and magnetic resonance imaging (MRI) are accurate and sensitive in the assessment of inflammation and structural damage at the joint and soft tissue structures in patients with SLE. The US is particularly helpful for the detection of joint and/or tendon inflammation in patients with arthralgia but without clinical synovitis, and for the early identification of bone erosions. MRI plays a key role in the early diagnosis of osteonecrosis and in the assessment of muscle involvement (i.e., myositis and myopathy). Conventional radiography (CR) remains the traditional gold standard for the evaluation of structural damage in patients with joint involvement, and for the study of bone pathology. The diagnostic value of CR is affected by the poor sensitivity in demonstrating early structural changes at joint and soft tissue level. Computed tomography allows a detailed evaluation of bone damage. However, the inability to distinguish different soft tissues and the need for ionizing radiation limit its use to selected clinical circumstances. Nuclear imaging techniques are valuable resources in patients with suspected bone infection (i.e., osteomyelitis), especially when MRI is contraindicated. Finally, dual energy X-ray absorptiometry represents the imaging mainstay for the assessment and monitoring of bone status in patients with or at-risk of osteoporosis. Summary Imaging provides relevant and valuable information in the assessment of MSK involvement in SLE.

show abstract

“… 2 Tendon rupture is a serious complication; its rarity has limited study of incidence to case reports. 3 , 4 …”

Section: Introductionmentioning

confidence: 99%

“…2 Tendon rupture is a serious complication; its rarity has limited study of incidence to case reports. 3,4 Hamate fractures can be classified using the Milch classification into fractures of either the body or hook. Fractures of the hook are typically associated with sporting activity that involves direct force onto or across the hook of hamate, such as baseball, golf, and racquet sports.…”

Section: Introductionmentioning

confidence: 99%

Complications after Nonoperative Management of Hamate Fractures

Finley

Medvedev

2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: Hamate fractures are an infrequent injury and are often missed or have a delayed diagnosis with potential for significant patient morbidity. There is a relative paucity in the literature involving large population studies of hamate fractures and subsequent complications. Gaining a better understanding of complications associated with nonoperative management will help guide the decision for operative intervention. Methods: The PearlDiver patient records database was used to query for patients who sustained a hamate fracture using ICD-9 and ICD-10 codes. Postinjury complications within 1 year of diagnosis were assessed using ICD-9 and ICD-10 codes for diagnoses of complications. Results: A total of 1120 patients who sustained a hamate hook or body fracture met inclusion and exclusion criteria and were included in the study. Patients who were managed nonoperatively showed a nonunion rate of 2%, ulnar neuropathy rate of 1.7%, and tendon rupture rate of 0.2%. In a subanalysis using only ICD-10 codes to distinguish between hook and body fractures, hook fractures demonstrated a nonunion rate of 2.2%, ulnar neuropathy rate of 2.7%, and tendon rupture rate of 0%, while body fractures had a nonunion rate of 1.2%, ulnar neuropathy rate of 1%, and tendon rupture rate of 0%. Conclusion: The current study shows very low rates of nonunion, ulnar neuropathy and tendon rupture after nonoperative management of hamate fractures.

show abstract

Spontaneous flexor tendon rupture due to an insufficiency fracture of the hamate hook in a patient with systemic lupus erythematosus: A case report

Cited by 11 publications

References 12 publications

Spontaneous perirenal hemorrhage in systemic lupus erythematosus: a rare case report and literature review

Spontaneous perirenal hemorrhage in systemic lupus erythematosus: a rare case report and literature review

Imaging of Joint and Soft Tissue Involvement in Systemic Lupus Erythematosus

Complications after Nonoperative Management of Hamate Fractures

Contact Info

Product

Resources

About