title: Carpal tunnel syndrome and finger movement dysfunction caused by tophaceous gout: a case report.
abstract: We describe a case of tophaceous gout with a combination of carpal tunnel syndrome and finger movement dysfunction. Carpal tunnel syndrome secondary to gout is uncommon. The concomitant presence of finger movement dysfunction is rare and suggests the involvement of the flexor tendons inside the carpal tunnel. Surgery is recommended to decompress the median nerve, to confirm the diagnosis, and for immediate improvement of flexor tendon excursion. Our patient's finger movement improved dramatically soon after surgery.
authors.affiliation: Department of Orthopedics, Kaohsiung Medical University Hospital, Department of Orthopedics, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Yu-Chuan
authors.initials: YC
authors.lastname: Lin
authors.forename: Chung-Hwan
authors.initials: CH
authors.lastname: Chen
authors.forename: Yin-Chih
authors.initials: YC
authors.lastname: Fu
authors.forename: Gau-Tyan
authors.initials: GT
authors.lastname: Lin
authors.forename: Je-Ken
authors.initials: JK
authors.lastname: Chang
authors.forename: Sheang-Tsung
authors.initials: ST
authors.lastname: Hu
mesh_terms: D002349:Carpal Tunnel Syndrome / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D005385:Fingers / Q000503:physiopathology* / Q000601:surgery; D006073:Gout / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged