跟腱断裂修复术后7年出现包含残留缝合材料的痛风石
Gouty Tophi Encompassing Retained Suture Material 7 Years After Achilles Tendon Rupture Repair.
作者信息
Dhodapkar Meera M, Schneble Christopher A, Kahan Joseph B, Yoo Brad J
机构信息
Yale School of Medicine, New Haven, Connecticut.
Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut.
出版信息
JBJS Case Connect. 2022 Nov 23;12(4). doi: e22.00433. eCollection 2022 Oct 1.
CASE
We report the case of a 32-year-old male patient with no history of gout who developed gouty tophi encompassing retained suture material 7 years after initial repair of a ruptured Achilles tendon. The patient had a posterior ankle mass concerning for abscess. Monosodium urate crystals were identified, and uric acid level was elevated at the time of irrigation and debridement.
CONCLUSION
Surgical site gout is a rare but important phenomenon to recognize in the treatment of patients with Achilles tendon repairs, particularly in patients with a history of abscess, infection, or collections localized to retained suture material.
病例
我们报告了一名32岁男性患者的病例，该患者无痛风病史，在跟腱断裂初次修复7年后，出现了包含残留缝合材料的痛风石。患者踝关节后方有一个肿块，怀疑为脓肿。在冲洗和清创时发现了尿酸钠晶体，且尿酸水平升高。
结论
手术部位痛风是跟腱修复患者治疗中一种罕见但重要的现象，尤其是在有脓肿、感染病史或局部存在残留缝合材料的患者中。
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