From the Departments of Plastic and Reconstructive Surgery.
Orthopedic Surgery, Institute of Hand and Microsurgery, Duson Hospital, Ansan, South Korea.
Ann Plast Surg. 2023 Apr 1;90(4):310-312. doi: 10.1097/SAP.0000000000003476. Epub 2023 Feb 4.
A 26-year-old male patient visited outpatient clinic for pain and palpable mass at 2nd extensor digitorum communis zone V region since last year. He underwent a posttraumatic extensor tenorrhaphy on the same location 11 years ago. Otherwise previously healthy, his blood test revealed an elevated uric acid level. Preoperative magnetic resonance imaging scan suggested a lesion, such as tenosynovial hemangioma and neurogenic tumor. Excisional biopsy was performed, and total excision of the compromised second extensor digitorum communis and extensor indicis proprius tendons was also necessary. Palmaris longus tendon was grafted to the defect. Postoperative biopsy report confirmed a crystalloid material with giant cell associated granulomas, suggestive of gouty tophi.
一位 26 岁男性患者因去年起于 V 区第 2 伸指总肌区疼痛和可触及肿块而到门诊就诊。11 年前，他曾在同一部位接受过外伤性伸肌腱缝合术。除了此次创伤外，他一直健康状况良好，血液检查显示尿酸水平升高。术前磁共振成像扫描提示存在病变，如腱鞘滑膜血管脂肪瘤和神经源性肿瘤。因此进行了切除活检，还需要完全切除受损的第 2 伸指总肌和固有伸指肌腱。用掌长肌腱移植修复缺损。术后活检报告证实存在结晶物质和与巨细胞相关的肉芽肿，提示为痛风石。
