Journals / Joint diseases and related surgery / 2021 / Cilt: 32 - Sayı: 3

Gout tophus in transferred tendons after 33 years:A case report

Pages
771–774
Publication Date
2022-11-06
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No recurrence was observed after 18 months of follow-up.In conclusion, surgical site gout may be observed at transferredtendons years after the initial surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Surgical site gout is an extremely rare complication that is difficultto diagnose, particularly in patients without a history of gout.
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Key Findings & Data:A57-year-old male patient was admitted with no previous historyof gout, complaining of surgical site gout located at the junctionwhere flexor carpi ulnaris tendon was transferred to extensordigitorum communis tendon after 33 years of the initial surgery.The patient was presented with a progressive swelling over thelast three months which was located on the dorsoulnar side ofthe right wrist joint.
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Conclusion & Impact:No recurrence was observed after 18 months of follow-up.In conclusion, surgical site gout may be observed at transferredtendons years after the initial surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Surgical site gout is an extremely rare complication that is difficultto diagnose, particularly in patients without a history of gout. A57-year-old male patient was admitted with no previous historyof gout, complaining of surgical site gout located at the junctionwhere flexor carpi ulnaris tendon was transferred to extensordigitorum communis tendon after 33 years of the initial surgery.The patient was presented with a progressive swelling over thelast three months which was located on the dorsoulnar side ofthe right wrist joint. Magnetic resonance imaging revealed aniso/hypointense mass. During the excisional biopsy, retainednon-absorbable suture materials were observed within the mass.Histopathological examination result was reported as a typical gouttophus. No recurrence was observed after 18 months of follow-up.In conclusion, surgical site gout may be observed at transferredtendons years after the initial surgery.

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Cite This Article

ÖZDEMİR, E., ÖZDEMİR, F. D. M., AKSU, A. E., KAFA, B., ALKANAT, N. E. (2022). Gout tophus in transferred tendons after 33 years:A case report. Joint diseases and related surgery, Cilt: 32 - Sayı: 3, 771–774. https://ajindex.com/articles/652234

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References (16)

  1. Zhu Y, Pandya BJ, Choi HK. Prevalence of gout and hyperuricemia in the US general population: The national health and nutrition examination survey 2007-2008. Arthritis Rheum 2011;63:3136-41
  2. Jeong H, Jeon CH. Clinical characteristics and risk factors for gout flare during the postsurgical period. Adv Rheumatol 2019;59:31
  3. Ortman BL, Pack LL. Aseptic loosening of a total hip prosthesis secondary to tophaceous gout. A case report. J Bone Joint Surg [Am] 1987;69:1096-9
  4. Chen F, Glezos C, Blum Y, Hossack M, Schwechter EM. Nonsurgical treatment of aseptic periprosthetic gout flare of the knee: A report of 2 cases. JBJS Case Connect 2016;6:e93
  5. Sainsbury DC, Hidvegi N, Blair JW. Intra-tendinous gout in a repaired flexor digitorum profundus. J Hand Surg Eur Vol 2008;33:528-9
  6. Giani VC, Gutteling E. Surgical site gout 12 years after an achilles tendon repair: A case report. JBJS Case Connect 2020;10:e1900283
  7. Ragab G, Elshahaly M, Bardin T. Gout: An old disease in new perspective - A review. J Adv Res 2017;8:495-511
  8. Sakti M, Usman MA, Lee J, Benjamin M, Maulidiah Q. Atypical musculoskeletal manifestations of gout in hyperuricemia patients. Open Access Rheumatol 2019;11:47-52
  9. Luo PB, Zhang CQ. Chronic carpal tunnel syndrome caused by covert tophaceous gout: A case report. World J Clin Cases 2018;6:279-83
  10. Doucet V, McLeod GJ, Petropolis CJ. Gouty stenosing tenosynovitis: Trigger finger as a first presentation of tophaceous gout. Plast Reconstr Surg Glob Open 2020;8:e3055
  11. Friedman JE, Dallal RM, Lord JL. Gouty attacks occur frequently in postoperative gastric bypass patients. Surg Obes Relat Dis 2008;4:11-3
  12. Wernick R, Winkler C, Campbell S. Tophi as the initial manifestation of gout. Report of six cases and review of the literature. Arch Intern Med 1992;152:873-6
  13. Atik OŞ, Ergişi Y, Ayanoğlu T, Tokgöz MA, Sezgin EA, Göçün PU. Is it easy to clinically distinguish inflammatory arthritis of bacterial origin from monoarthritis attacks of gout disease? Eklem Hastalik Cerrahisi 2016;27:167-70
  14. Davies J, Riede P, van Langevelde K, Teh J. Recent developments in advanced imaging in gout. Ther Adv Musculoskelet Dis 2019;11:1759720X19844429
  15. Kostman JR, Rush P, Reginato AJ. Granulomatous tophaceous gout mimicking tuberculous tenosynovitis: Report of two cases. Clin Infect Dis 1995;21:217-9
  16. Ergin ÖN, Demirel M, Özmen E. An exceptional case of suture granuloma 30 years following an open repair of achilles tendon rupture