title: Gouty Tenosynovitis of the Distal Biceps Tendon Insertion Complicated by Partial Rupture: First Case and Review of the Literature.
abstract: Background:Given the appreciable prevalence of gout, gout-induced tendon ruptures in the upper extremity are extremely rare. Although these events have been reported only 5 times in the literature, all in patients with a risk factor for or history of gout, they have conspicuously never been diagnosed in the shoulder or elbow.Methods:A 45-year-old, right-hand-dominant man with a history of gout presented with pain in his right anterior elbow and weakness in his forearm after a trivial injury.Results:Here, we report the first case of gouty tenosynovitis of the distal biceps tendon insertion complicated by partial rupture, a composite diagnosis supported by both intraoperative and histological observations.Conclusions:In patients who are clinically diagnosed with biceps tendon rupture and have a history of gout, it is important to consider the possibility of a gout-related pathological manifestation causing or simulating tendon rupture.
authors.affiliation: The Orthopaedic Center, Rockville, MD, USA.
authors.forename: Rick J
authors.initials: RJ
authors.lastname: Fairhurst
authors.affiliation: George Washington University, Washington, DC, USA.
authors.forename: Arnold M
authors.initials: AM
authors.lastname: Schwartz
authors.affiliation: The Orthopaedic Center, Rockville, MD, USA.
authors.forename: Leo M
authors.initials: LM
authors.lastname: Rozmaryn
mesh_terms: D004551:Elbow Joint; D006073:Gout / Q000150:complications* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012421:Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013717:Tenosynovitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery
keywords: biceps; gout; rupture; tendon; tenosynovitis