title: Management of tophaceous gout of the distal interphalangeal joint.
abstract: 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.
authors.affiliation: Orthopaedic Hand Service, Massachusetts General Hospital, Yawkey Center, Suite 2100, 55 Fruit Street, Boston, MA 02114, USA. cmudgal@partners.org
authors.forename: C S
authors.initials: CS
authors.lastname: Mudgal
mesh_terms: 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