Carpal tunnel syndrome due to tophaceous gout.
نویسندگان
چکیده
Tophaceous gout is a recognized cause of carpal tunnel syndrome. Of 2649 carpal tunnel releases, 15 hands in 13 patients were identified with tophaceous gout in the carpal tunnel. The incidence of tophaceous gout in the carpal tunnel was 0.6%. Twelve of 13 patients were male, and 8 of 10 patients with a history of gout developed carpal tunnel syndrome despite adequate medical treatment. Thus, consideration should be given for tophi as a cause of carpal tunnel syndrome, especially in older men despite medical treatment for gout.
منابع مشابه
Gouty wrist arthritis causing carpal tunnel syndrome--a case report.
A 63 year old male with a history of gout and hypertension presented with carpal tunnel syndrome. He gave history of bilateral wrist pain associated with numbness over the median nerve distribution of the hand. Tinels sign and Phalens test were positive with no obvious thenar muscle wasting on examination. Tophaceous deposits in the flexor tendons and within the synovium of the wrist joint was ...
متن کاملCarpal tunnel syndrome caused by tophaceous gout
Copyright © 2014 The Korean Association of Internal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. pISSN 1226-3303 eISSN 2005-664...
متن کاملA repeated carpal tunnel syndrome due to tophaceous gout in flexor tendon
RATIONALE Gouty tophi is a rare cause of CTS. We first report a unique case of repeated CTS with gouty tophi in flexor tendon. In the previous literature, the symptoms cases of CTS were gradually increased. PATIENT CONCERNS We report a 44-year-old male porter presented with mass on his left distal forearm combined a repeated carpal tunnel syndrome for 5 years. He felt numbness in fingers and ...
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The authors report an unusual case of flexor tenosynovitis, severe carpal tunnel syndrome, and triggering at the carpal tunnel as the first manifestation of gout. A 69-year-old man presented with digital flexion contracture and severe carpal tunnel syndrome of his right hand and was treated surgically. A flexor tenosynovectomy and a median nerve neurolysis were performed through an extended car...
متن کاملTophaceous gout of the rotator cuff. A case report.
Soft-tissue tophaceous deposits have been reported in the finger, carpal tunnel, spine (cervical and lumbar), hip, knee, and Achilles tendon.1,3,6,8,10,13,16 Intraosseous and intradermal sites have also been described, and there is also a report of a tophus being the cause of fracture nonunion.4,5,17 Glenohumeral joint involvement in gouty arthropathy, however, is unusual.7 Tophaceous gout corr...
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ورودعنوان ژورنال:
- Orthopedics
دوره 27 8 شماره
صفحات -
تاریخ انتشار 2004