title: Bilateral carpal tunnel syndrome due to gouty tophi: conservative and surgical treatment in different hands of the same patient.
abstract: Gouty tophi are an uncommon cause of carpal tunnel syndrome. We describe a case of bilateral carpal tunnel syndrome due to gouty tophi. Gouty tophi in the right wrist developed slowly, but developed acutely in flexor tendons in the left wrist. Symptoms were numbness and finger movement dysfunction in both hands. The right hand was treated surgically, while the left hand was treated by medication. Both hands improved under a well-controlled serum uremic acid level.
authors.affiliation: Department of Orthopaedic Surgery, Kitasato University School of Medicine , Sagamihara, Kanagawa , Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Onuma
authors.forename: Hisako
authors.initials: H
authors.lastname: Fujimaki
authors.forename: Tomonori
authors.initials: T
authors.lastname: Kenmoku
authors.forename: Koji
authors.initials: K
authors.lastname: Sukegawa
authors.forename: Shotaro
authors.initials: S
authors.lastname: Takano
authors.forename: Kentaro
authors.initials: K
authors.lastname: Uchida
authors.forename: Naonobu
authors.initials: N
authors.lastname: Takahira
authors.forename: Masashi
authors.initials: M
authors.lastname: Takaso
mesh_terms: D000328:Adult; D002349:Carpal Tunnel Syndrome / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D003131:Combined Modality Therapy; D006073:Gout / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D006074:Gout Suppressants / Q000627:therapeutic use*; D006225:Hand / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures; D016896:Treatment Outcome
chemical_list: D006074:Gout Suppressants
keywords: Carpal tunnel syndrome; Conservative treatment; Flexor tendon; Gouty tophus; Hyperuricemia