Carpal Tunnel Syndrome and Finger Movement Dysfunction Caused By Tophaceous Gout: A Case Report

We describe a case of tophaceous gout with a combination of carpal tunnel syndrome and finger movement dysfunction. Carpal tunnel syndrome secondary to gout is uncommon. The concomitant presence of finger movement dysfunction is rare and suggests the involvement of the flexor tendons inside the carp...

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Bibliographic Details
Main Authors: Yu-Chuan Lin, Chung-Hwan Chen, Yin-Chih Fu, Gau-Tyan Lin, Je-Ken Chang, Sheang-Tsung Hu
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Kaohsiung Journal of Medical Sciences
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Online Access:http://www.sciencedirect.com/science/article/pii/S1607551X09700385
Description
Summary:We describe a case of tophaceous gout with a combination of carpal tunnel syndrome and finger movement dysfunction. Carpal tunnel syndrome secondary to gout is uncommon. The concomitant presence of finger movement dysfunction is rare and suggests the involvement of the flexor tendons inside the carpal tunnel. Surgery is recommended to decompress the median nerve, to confirm the diagnosis, and for immediate improvement of flexor tendon excursion. Our patient's finger movement improved dramatically soon after surgery.
ISSN:1607-551X