Tendon and Ligament Involvement in Gout With Associated Tendon Rupture - Takeaways - MDSpire
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Involvement of Tendons and Ligaments in Gout: A Study of Associated Tendon Ruptures

  • By

  • Thipsukhon Sathapanasiri

  • Apisan Chinanuvathana

  • Sungchai Angthararak

  • Dan Kaufmann

  • Naomi Schlesinger

  • July 1, 2026

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  • 1

    Gout primarily affects synovial joints but can also involve tendons and ligaments, particularly in patients with poorly controlled disease.

  • 2

    A 68-year-old man with poorly controlled tophaceous gout experienced bilateral Achilles tendon ruptures after a course of levofloxacin.

  • 3

    MRI revealed extensive intratendinous tophaceous deposits and bilateral Achilles tendon ruptures with significant retraction and gap formation.

  • 4

    Fluoroquinolones, like levofloxacin, are associated with an increased risk of tendon injury, especially in older patients with pre-existing conditions.

  • 5

    Imaging techniques such as MRI and ultrasound are crucial for diagnosing intratendinous gout and assessing structural tendon injuries.

Original Source(s)

Tendon and Ligament Involvement in Gout With Associated Tendon Rupture

  • by Thipsukhon Sathapanasiri, Apisan Chinanuvathana, Sungchai Angthararak, Dan Kaufmann, Naomi Schlesinger

  • July 1, 2026

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