Carpal tunnel syndrome and finger movement dysfunction caused by tophaceous gout: a case report.
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.
Lin
Yu-Chuan
YC
Department of Orthopedics, Kaohsiung Medical University Hospital, Department of Orthopedics, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Chen
Chung-Hwan
CH
Fu
Yin-Chih
YC
Lin
Gau-Tyan
GT
Chang
Je-Ken
JK
Hu
Sheang-Tsung
ST
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