Fethiye Damla Menkü Özdemir1, Barış Kafa1, Erdi Özdemir2, Nazlı Eylem Alkanat3, Ali Emre Aksu1

1Department of Plastic, Aesthetic and Reconstructive Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
2Department of Orthopedics and Traumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey
3Department of Pathology, Hacettepe University Faculty of Medicine, Ankara, Turkey

Keywords: Extensor digitorum communis, flexor carpi ulnaris, postsurgical, surgical site, tendon transfer, wrist

Abstract

Surgical site gout is an extremely rare complication that is difficult to diagnose, particularly in patients without a history of gout. A 57-year-old male patient was admitted with no previous history of gout, complaining of surgical site gout located at the junction where flexor carpi ulnaris tendon was transferred to extensor digitorum communis tendon after 33 years of the initial surgery. The patient was presented with a progressive swelling over the last three months which was located on the dorsoulnar side of the right wrist joint. Magnetic resonance imaging revealed an iso/hypointense mass. During the excisional biopsy, retained non-absorbable suture materials were observed within the mass. Histopathological examination result was reported as a typical gout tophus. No recurrence was observed after 18 months of follow-up. In conclusion, surgical site gout may be observed at transferred tendons years after the initial surgery.