Wurapa Raymond K, Zelouf David S
Department of Orthopedics, Division of Hand Surgery, The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA, USA.
J Hand Surg Am. 2002 Jul;27(4):591-3. doi: 10.1053/jhsu.2002.34312.
We present a case of primary gouty infiltration of flexor tendons in the hand, causing rupture of both flexor digitorum superficialis and profundus tendons in a single digit. The patient was managed by a single-stage reconstruction of the less involved flexor digitorum superficialis tendon using a segment of the proximal stump of flexor digitorum profundus tendon as a bridge graft. This uncommon etiology of tendon rupture should be considered in all patients with a history of gout presenting with tendon insufficiency.
我们报告一例手部屈肌腱原发性痛风浸润病例,导致单个手指的指浅屈肌腱和指深屈肌腱均断裂。患者接受了一期手术重建,使用指深屈肌腱近端残端的一段作为桥接移植物,修复受累较轻的指浅屈肌腱。对于所有有痛风病史且出现肌腱功能不全的患者,均应考虑这种罕见的肌腱断裂病因。