Flexor tendon rupture caused by gout: a case report.

Abstract 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. (J Hand Surg 2002;27A:591-593. Copyright © 2002 by the American Society for Surgery of the Hand.)