Gouty Tenosynovitis of the Distal Biceps Tendon Insertion Complicated by Partial Rupture: First Case and Review of the Literature

Hand (N Y). 2017 Jan;12(1):NP1-NP5. doi: 10.1177/1558944715627639. Epub 2016 Mar 3.


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.

Keywords: biceps; gout; rupture; tendon; tenosynovitis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Elbow Joint
  • Gout / complications*
  • Gout / pathology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Rupture / diagnostic imaging
  • Rupture / etiology
  • Rupture / surgery
  • Tendon Injuries / diagnostic imaging
  • Tendon Injuries / etiology*
  • Tendon Injuries / surgery
  • Tenosynovitis / complications*
  • Tenosynovitis / diagnostic imaging
  • Tenosynovitis / pathology
  • Tenosynovitis / surgery