Carpal tunnel syndrome secondary to intratendinous infiltration by tophaceous gout.
Carpal tunnel syndrome caused by gout is rare. We describe a case of entrapment of the median nerve secondary to intratendinous infiltration by gouty tophi in a 54-year-old man. The tophus was excised from the profundus tendon but the superficialis was too infiltrated and destroyed to be saved. The patient made an uneventful recovery with relief of his symptoms. This case illustrates the potential consequences this could have for hand function.
Mockford
Brian J
BJ
Department of Orthopaedic Surgery, Crosshouse Hospital, Kilmarnock, Scotland. Bmockjmock@aol.com
Kincaid
Robin J
RJ
Mackay
Ian
I
D002349:Carpal Tunnel Syndrome / Q000209:etiology*; D005385:Fingers; D006073:Gout / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013710:Tendons / Q000473:pathology*; D014953:Wrist