HAND

, Volume 4, Issue 1, pp 78–80

Atypical Triggering at the Wrist due to Intratendinous Infiltration of Tophaceous Gout

  • Kazufumi Sano
  • Yoshitake Kohakura
  • Kazumasa Kimura
  • Satoru Ozeki
REPORT

Abstract

This is a report of a 41-year-old male with triggering of the long finger flexor digitorum superficialis tendon at the wrist secondary to tophaceous gout. The tophus was severely infiltrating the tendon, and a tenotomy of the FDS tendon was performed. Preoperatively, the lesion could not be distinguished from a neoplasm.

Keywords

Triggering Tophaceous gout Intratendinous infiltration Flexor digitorum superficialis tendon 

References

  1. 1.
    Carnero S, Terán P, Trillo E. Malignant fibrous histiocytoma arising in a gouty tophus at the second metacarpophalangeal joint. J Plast Reconstr Aesthet Surg. 2006;59:775–8.PubMedCrossRefGoogle Scholar
  2. 2.
    Gentili A. The advanced imaging of gouty tophi. Curr Rheumatol Rep. 2006;8:231–5.PubMedCrossRefGoogle Scholar
  3. 3.
    Liu K, Moffatt EJ, Hudson ER, Layfield LJ. Gouty to-phus presenting at a soft tissue mass diagnosed by fine-needle aspiration: a case report. Diagn Cytopathol. 1996;15:246–9.PubMedCrossRefGoogle Scholar
  4. 4.
    Mackford BJ, Kincaid RJ, Mackay I. Carpal tunnel syndrome secondary to intratendinous infiltration by tophaceous gout. Scand J Plast Reconstr Surg Hand Surg. 2003;37:186–7.CrossRefGoogle Scholar
  5. 5.
    Pai CH, Tseng CH. Acute carpal tunnel syndrome caused by tophaceous gout. J Hand Surg. 1993;18A:667–9.Google Scholar
  6. 6.
    Weinzweig J, Fletcher JW, Linburg RM. Flexor tendonitis and median nerve compression caused by gout in a patient with rheumatoid arthritis. Plast Reconstr Surg. 2000;106:1570–2.PubMedCrossRefGoogle Scholar

Copyright information

© American Association for Hand Surgery 2008

Authors and Affiliations

  • Kazufumi Sano
    • 1
  • Yoshitake Kohakura
    • 1
  • Kazumasa Kimura
    • 1
  • Satoru Ozeki
    • 1
  1. 1.Department of Orthopaedic SurgeryDokkyo Medical University, Koshigaya HospitalKoshigayaJapan

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