| Jui-Yuan Hung |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=1.273 ------>paper_class3=2 ------>paper_class2=2 ------>vol=125 ------>confirm_bywho=shtsai ------>insert_bywho=raysswu ------>Jurnal_Rank=29.7 ------>authors4_c= ------>comm_author= ------>patent_EDate=None ------>authors5_c= ------>publish_day=15 ------>paper_class2Letter=None ------>page2=284 ------>medlineContent= ------>unit=J0600 ------>insert_date=20081128 ------>iam=3 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN=0936-8051 ------>authors_c= ------>score=500 ------>journal_name=Arch Orthop Trauma Surg ------>paper_name=Spontaneous rupture of extensor pollicis longus tendon with tophaceous gout infiltration ------>confirm_date=20081128 ------>tch_id=096074 ------>pmid=15875233 ------>page1=281 ------>fullAbstract=INTRODUCTION: Spontaneous rupture of the extensor pollicis longus (EPL) tendon has been reported in the literature. Various mechanisms have been proposed to account for this problem, but gouty infiltration is a rare mechanism. Here we report a patient with a long-standing history of gout who presented with sudden loss of interphalangeal extension of the left thumb. Spontaneous rupture of the EPL tendon caused by gout was discovered. MATERIALS AND METHODS: The successful treatment done involved surgical exploration and extensor indicis proprius tendon transfer. Postoperative thumb spica immobilization for 6 weeks was applied. RESULTS: Pathology disclosed urate crystals deposited within the ruptured EPL tendon. The functional recovery is satisfactory at the 1-year follow-up. CONCLUSION: Spontaneous rupture of the EPL tendon caused by gout is rare. Successful treatment was done with surgical management. Life-long medical follow-up to prevent a repeated acute attack can lower the risk of a large amount of tophaceous gout infiltration in tendons and may possibly prevent acute spontaneous tendon rupture. ------>tmu_sno=None ------>sno=20021 ------>authors2=Shyu-Jye Wang ------>authors3=Shing-Sheng Wu ------>authors4= ------>authors5= ------>authors6= ------>authors6_c= ------>authors=Jui-Yuan Hung ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=Spontaneous rupture of extensor pollicis longus tendon with tophaceous gout infiltration. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no= ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2004 ------>submit_flag=None ------>publish_month=6 |