An inusual manifestation of osteo-articular, tendinous and nervous involvement secondary to tophaceous gout of the hand. A report of two cases;Rare manifestation de lésion ostéoarticulaire, tendineuse et neurologique par goutte tophacée de la main. Deux cas cliniques

Chirurgie de la Main

Volumn 26, Issue 1, 2007, Pages 55-58

  Martinez Villen G ^a   Canales, V ^a   Hernandez Rossi A ^a   Herrera, A ^a  

^a HOSPITAL UNIVERSITARIO MIGUEL SERVET   (Spain)

Author keywords

Gout; Nerve compression; Tendon; Tophi; Wrist

Indexed keywords

ADULT; ARTICLE; CASE REPORT; FINGER; FINGER JOINT; FLEXION CONTRACTURE; GOUT; HUMAN; HYPERURICEMIA; JOINT INSTABILITY; MALE; MEDIAN NERVE; NEUROLYSIS; PARESTHESIA; PISIFORM BONE; TENDON; TENOSYNOVITIS; ULNAR NERVE; CARPAL TUNNEL SYNDROME; CONTRACTURE; CRYSTALLIZATION; CUBITAL TUNNEL SYNDROME; ELECTROMYOGRAPHY; FOLLOW UP; HAND; METABOLISM; MIDDLE AGED; PATHOLOGY; RADIOGRAPHY; SYNOVIUM; TIME; TREATMENT OUTCOME;

URIC ACID;

CARPAL TUNNEL SYNDROME; CONTRACTURE; CRYSTALLIZATION; CUBITAL TUNNEL SYNDROME; ELECTROMYOGRAPHY; FINGER JOINT; FOLLOW-UP STUDIES; GOUT; HAND; HUMANS; HYPERURICEMIA; JOINT INSTABILITY; MALE; MIDDLE AGED; SYNOVIAL MEMBRANE; TENOSYNOVITIS; TIME FACTORS; TREATMENT OUTCOME; URIC ACID;

EID: 34047123792     PISSN: 12973203     EISSN: 17696666     Source Type: Journal    
DOI: 10.1016/j.main.2006.11.005     Document Type: Article

References (18)

1. Moore J.R., and Weiland A.J. Gouty tenosynovitis in the hand. J. Hand Surg. 10A (1985) 291-295
2. Caudle R.J., Heim J.M., and Stern P.J. Digital flexion contractures secondary to tophaceous gout. A report of three cases. Orthopedics 12 (1989) 731-735
3. Schuind F.A., Geertruyden J.V., Stallenberg B., Remmelink M., and Pasteels J.L. A rare manifestation of gout at the wrist -a case report. Acta Orthop. Scand. 73 (2002) 594-596
4. Schuind F.A., Clermont D., Stallenberg B., Remmelink M., and Pasteels J.L. Gouty involvement of flexor tendons. Chir. Main 22 (2003) 46-50
5. Weniger F.G., Davison S.P., Risin M., Salyapongse A.N., and Manders E.K. Gouty flexor tenosynovitis of the digits: report of three cases. J. Hand Surg. 28A (2003) 669-672
6. Mudgal C.S. Management of tophaceous gout of the distal interphalangeal joint. J. Hand Surg. 31B (2006) 101-103
7. Castagnoli M., Giacomello A., Argentina R.S., and Zoppini A. Kienböck's disease in gout. Artritis Rheum. 24 (1981) 974-975
8. De Smet L., Willemen D., Kimpe E., and Fabry G. Nontraumatic osteonecrosis of the capitate bone associated wiht gout. Ann. Chir. Main 12 (1993) 210-212
9. Abrahamsson S.O. Gouty tenosynovitis simulating an infection. A case report. Acta Orthop. Scand. 58 (1987) 282-283
10. Aslam N., Lo S., and McNab I. Gouty flexor tenosynovitis mimicking infection: a case report emphasising the value of ultrasound in diagnosis. Acta Orthop. Belg. 70 (2004) 368-370
11. Pledger S.R., Hirsch B., and Freiberg R.A. Bilateral carpal tunnel syndrome secondary to gouty tenosynovitis. A case report. Clin. Orthop. Relat. Res. 118 (1976) 188-189
12. Janssen T., and Rayan G.M. Gouty tenosynovitis and compression neuropathy of the median nerve. Clin. Orthop. Relat. Res. 216 (1987) 203-206
13. Phalen G.S. The carpal-tunnel syndrome. Seventeen years' experience in diagnosis and treatment of six hundred fifty-four hands. J. Bone Joint Surg. 48A (1966) 211-228
14. Tsai C.Y., Yu C.L., and Tsai S.T. Bilateral carpal tunnel syndrome secondary to tophaceous compression of the median nerves. Scand. J. Rheumatol. 25 (1996) 107-108
15. Akizuki S., and Matsui T. Entrapment neuropathy caused by tophaceous gout. Hand Surg. J. 9B (1984) 331-332
16. Jacoulet P. Double syndrome canalaire au membre supérieur par tophi goutteux. À propos d'un cas. Ann. Chir. Main 13 (1994) 42-45
17. Cobb T.K., Amadio P.C., Leatherwood D.F., Schleck C.D., and Ilstrup D.M. Outcome of reoperation for carpal tunnel syndrome. J. Hand Surg. 21A (1996) 347-356
18. Stütz N., Gohritz A., Van Schoonhoven J., and Lanz U. Revision surgery after carpal tunnel release. Analysis of the pathology in 200 cases during a 2 year period. J. Hand Surg. 31B (2006) 68-71