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A 59-year-old patient experienced sudden pain in the left shoulder joint while driving last year and limited mobility
.
I thought I had a muscle strain and tried various treatments, but the pain still did not completely disappear after 10 months of treatment, so I came to the rehabilitation department of our hospital for diagnosis and treatment
.
The examination revealed that the left shoulder joint was painful in internal rotation, and the flexion and abduction were limited to 90 degrees
.
Lift up experiment (+)
.
Considering a rotator cuff injury, ultrasonography was performed to confirm the diagnosis
.
Ultrasound showed that the left biceps long head tendon hydrocele was accompanied by multiple hyperechoic light spot deposition in the tendon, and the uninjured right shoulder also found multiple hyperechoic light spot deposition in the same part
.
The patient's medical history was inquired in detail, and it was learned that the patient had a history of hyperuricemia for many years
.
Combined medical history diagnosis: bilateral biceps multiple crystal deposits (gout); left biceps long head tendon hydrocele (inflammation)
.
Case Summary The greatest harm of high uric acid is that it is deposited in different parts and causes damage
.
Uric acid is not only deposited in the joints to cause gouty arthritis, deposited under the skin to form tophi, deposited in the kidneys to cause gouty nephropathy and uric acid nephrolithiasis, but also deposited in the muscles and beside blood vessels, etc.
Typical, often ignored
.
Just like this patient, who has always mistaken himself for a muscle strain, but ignored the harm of high uric acid
.
If it weren't for the "wisdom of the eye and the pearl", the director of the ultrasound department, may have been misdiagnosed all the time
.
Patients should receive uric acid-lowering therapy, which can relieve this type of muscle pain, control uric acid to the standard for a long time, and local urate crystals may be absorbed
.
.
I thought I had a muscle strain and tried various treatments, but the pain still did not completely disappear after 10 months of treatment, so I came to the rehabilitation department of our hospital for diagnosis and treatment
.
The examination revealed that the left shoulder joint was painful in internal rotation, and the flexion and abduction were limited to 90 degrees
.
Lift up experiment (+)
.
Considering a rotator cuff injury, ultrasonography was performed to confirm the diagnosis
.
Ultrasound showed that the left biceps long head tendon hydrocele was accompanied by multiple hyperechoic light spot deposition in the tendon, and the uninjured right shoulder also found multiple hyperechoic light spot deposition in the same part
.
The patient's medical history was inquired in detail, and it was learned that the patient had a history of hyperuricemia for many years
.
Combined medical history diagnosis: bilateral biceps multiple crystal deposits (gout); left biceps long head tendon hydrocele (inflammation)
.
Case Summary The greatest harm of high uric acid is that it is deposited in different parts and causes damage
.
Uric acid is not only deposited in the joints to cause gouty arthritis, deposited under the skin to form tophi, deposited in the kidneys to cause gouty nephropathy and uric acid nephrolithiasis, but also deposited in the muscles and beside blood vessels, etc.
Typical, often ignored
.
Just like this patient, who has always mistaken himself for a muscle strain, but ignored the harm of high uric acid
.
If it weren't for the "wisdom of the eye and the pearl", the director of the ultrasound department, may have been misdiagnosed all the time
.
Patients should receive uric acid-lowering therapy, which can relieve this type of muscle pain, control uric acid to the standard for a long time, and local urate crystals may be absorbed
.
