Management of tophaceous gout of the distal interphalangeal joint.
Surgical management of acute tophaceous gout of the distal interphalangeal joint is often associated with delayed wound healing. Aspiration through neighbouring uninvolved skin is a safe method of treating these tophi. For persistently symptomatic, unstable DIP joints, arthrodesis should be considered.
Mudgal
C S
CS
Orthopaedic Hand Service, Massachusetts General Hospital, Yawkey Center, Suite 2100, 55 Fruit Street, Boston, MA 02114, USA. cmudgal@partners.org
D000368:Aged; D015210:Arthritis, Gouty / Q000628:therapy*; D001174:Arthrodesis; D005260:Female; D005384:Finger Joint / Q000601:surgery*; D006801:Humans; D008297:Male; D009339:Needles; D013165:Splints; D013396:Suction; D013710:Tendons / Q000601:surgery