Department of Orthopedics, Suzhou Wujiang District Hospital of Traditional Chinese Medicine, Suzhou, 215200, China.
Department of Orthopedics, The Second Affiliated Hospital of Soochow University, Suzhou, 215200, China.
J Med Case Rep. 2024 Oct 9;18(1):487. doi: 10.1186/s13256-024-04827-2.
The objective of the case report is to analyze the clinical manifestations and imaging features of gouty long head of biceps tendinitis, and to summarize the methods and effects of shoulder arthroscopic surgery.
The clinical data of a 39-year-old Han Chinese female with gouty long head of the biceps tendinitis was retrospectively analyzed, and the clinical manifestations, imaging features, and diagnosis and treatment were analyzed. The patient presented with pain and limited movement of right shoulder joint. Computed tomography showed irregular high-density shadows above the glenoid and adjacent to the coracoid process of the right shoulder. Magnetic resonance imaging revealed superior labrum anterior and posterior injury with edema in the upper recess and axillary sac. After arthroscopic surgery, the "tofu residue" tissue of the long head of the biceps was removed, and the postoperative pathological examination proved that it was gout stone.
Gouty long head of the biceps tendinitis is a rare disease. Arthroscopic surgery can probe the structural lesions of shoulder cavity in all aspects, improve the surgical accuracy, and reduce the trauma.
本病例报告旨在分析痛风性肱二头肌长头腱鞘炎的临床表现和影像学特征，并总结肩关节镜手术的方法和效果。
回顾性分析 1 例 39 岁汉族女性痛风性肱二头肌长头腱鞘炎患者的临床资料，分析其临床表现、影像学特征、诊断和治疗方法。患者右肩关节疼痛伴活动受限。CT 显示右肩关节盂上缘及喙突旁不规则高密度影。MRI 显示盂上唇前后损伤，上隐窝及腋囊水肿。关节镜手术后，切除肱二头肌长头的“豆腐渣”组织，术后病理检查证实为痛风石。
痛风性肱二头肌长头腱鞘炎是一种罕见疾病。关节镜手术可以探查肩关节腔内的结构病变，提高手术准确性，减少创伤。
