Gouty wrist arthritis causing carpal tunnel syndrome--a case report.
A 63 year old male with a history of gout and hypertension presented with carpal tunnel syndrome. He gave history of bilateral wrist pain associated with numbness over the median nerve distribution of the hand. Tinels sign and Phalens test were positive with no obvious thenar muscle wasting on examination. Tophaceous deposits in the flexor tendons and within the synovium of the wrist joint was seen during surgery and this established gout as the cause of median nerve entrapment in this patient.
Department of Orthopaedics, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur. drfaizal786@yahoo.com
M F
MF
Sikkandar
J
J
Sapuan
R
R
Singh
S
S
Abdullah
D015210:Arthritis, Gouty / Q000150:complications* / Q000000981:diagnostic imaging; D002349:Carpal Tunnel Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014955:Wrist Joint