title: Tophaceous gout involving the proximal interphalangeal joint.
abstract: The extensor mechanism at the proximal interphalangeal joint may be severly damaged by expanding tophaceous deposits. Tophectomy and reconstruction of the extensor tendon is beneficial in patients who respond poorly to medical therapy.
mesh_terms: D000368:Aged; D005384:Finger Joint / Q000601:surgery*; D006073:Gout / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D006074:Gout Suppressants / Q000627:therapeutic use; D006227:Hand Deformities, Acquired / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D006074:Gout Suppressants