Iatrogenic flexor tendon rupture caused by misdiagnosing sarcoidosis-related flexor tendon contracture as tenosynovitis: A case report

doi:10.12998/wjcc.v11.i36.8512

科研成果详情

题名	Iatrogenic flexor tendon rupture caused by misdiagnosing sarcoidosis-related flexor tendon contracture as tenosynovitis: A case report
作者	Yan, Rui 1; Zhang, Zhe 2,3; Wu, Long2,3; Wu, Zhi-Peng2,3; Yan, He-De3,4,5,6
发表日期	2023-12-26
发表期刊	WORLD JOURNAL OF CLINICAL CASES 影响因子和分区
语种	英语
原始文献类型	Article ; Case Reports
关键词	Sarcoidosis Finger Contracture Iatrogenic Misdiagnosis Case report
其他关键词	FLEXION CONTRACTURE ; GRANULOMATOUS MYOSITIS ; SKELETAL-MUSCLE ; TRIGGER FINGER ; INVOLVEMENT
摘要	BACKGROUNDSarcoidosis is a multisystem disease characterized by granuloma formation in various organs. Sarcoidosis-related flexor tendon contractures are uncommon in clinical settings. This contracture is similar to stenosing tenosynovitis and potentially leads to misdiagnosis and mistreatment. Herein, we report a rare case of sarcoidosis-related finger flexor tendon contracture that was misdiagnosed as tenosynovitis.CASE SUMMARYA 44-year-old woman presented to our department with flexion contracture of the right ring and middle fingers. The patient was misdiagnosed with tenosynovitis and underwent acupotomy release of the A1 pulley of the middle finger in another hospital that resulted in iatrogenic rupture of both the superficial and profundus flexors. Radiological presentation showed multiple sarcoid involvements in the pulmonary locations and ipsilateral forearm. A diagnosis of sarcoidosis was made based on the presence of non-caseating granulomas with tubercles consisting of Langhans giant cells with lymphocyte infiltration on biopsy, and the patient underwent surgical repair for the contracture. After 2 mo, the patient experienced another spontaneous rupture of the repaired middle finger tendon and underwent surgical re-repair. Satisfactory results were achieved at the 10 mo follow-up after reoperation.CONCLUSIONSarcoidosis-related finger contractures are rare; thus, caution should be exercised when dealing with such patients to avoid incorrect treatment.
资助项目	Zhejiang Provincial Natural Science Foundation of China [LY23H090009]; Clinical Research Foundation of the Second Affiliated Hospital Wenzhou Medical University [SAHoWMU-CR2018-08-417]
出版者	BAISHIDENG PUBLISHING GROUP INC
ISSN	2307-8960
卷号	11 期号:36
DOI	10.12998/wjcc.v11.i36.8512
页数	8
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
WOS记录号	WOS:001141702800014
收录类别	SCIE ; PUBMED
URL	查看原文
PubMed ID	38188214
通讯作者地址	[Yan, He-De]Wenzhou Med Univ, Affiliated Hosp 2, Dept Hand Surg, 666 Oushi Rd, Wenzhou 325026, Zhejiang, Peoples R China. ; [Yan, He-De]Wenzhou Med Univ, Yuying Childrens Hosp, 666 Oushi Rd, Wenzhou 325026, Zhejiang, Peoples R China.
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/209681
专题	附属第二医院第二临床医学院，附属第二医院、育英儿童医院附属第二医院_手外科
通讯作者	Yan, He-De
作者单位	1.Zhejiang Chinese Med Univ, Clin Med Coll 2, Hangzhou 310053, Zhejiang, Peoples R China; 2.Wenzhou Med Univ, Affiliated Hosp 2, Div Hand Surg, Dept Orthoped, Wenzhou 325026, Zhejiang, Peoples R China; 3.Wenzhou Med Univ, Yuying Childrens Hosp, Wenzhou 325026, Zhejiang, Peoples R China; 4.Wenzhou Med Univ, Affiliated Hosp 2, Dept Hand Surg, Wenzhou, Zhejiang, Peoples R China; 5.Wenzhou Med Univ, Affiliated Hosp 2, Dept Hand Surg, 666 Oushi Rd, Wenzhou 325026, Zhejiang, Peoples R China; 6.Wenzhou Med Univ, Yuying Childrens Hosp, 666 Oushi Rd, Wenzhou 325026, Zhejiang, Peoples R China
通讯作者单位	附属第二医院_手外科; 第二临床医学院，附属第二医院、育英儿童医院
推荐引用方式 GB/T 7714	Yan, Rui,Zhang, Zhe,Wu, Long,et al. Iatrogenic flexor tendon rupture caused by misdiagnosing sarcoidosis-related flexor tendon contracture as tenosynovitis: A case report[J]. WORLD JOURNAL OF CLINICAL CASES,2023,11(36).
APA	Yan, Rui, Zhang, Zhe, Wu, Long, Wu, Zhi-Peng, & Yan, He-De. (2023). Iatrogenic flexor tendon rupture caused by misdiagnosing sarcoidosis-related flexor tendon contracture as tenosynovitis: A case report. WORLD JOURNAL OF CLINICAL CASES, 11(36).
MLA	Yan, Rui,et al."Iatrogenic flexor tendon rupture caused by misdiagnosing sarcoidosis-related flexor tendon contracture as tenosynovitis: A case report".WORLD JOURNAL OF CLINICAL CASES 11.36(2023).