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©2019 Turkish League Against Rheumatism. All rights reserved. Gout is a very common inflammatory arthritis by monosodium urate crystal deposition with increasing incidence.1,2 Tophi appears, on average, 11.6 years after the initial acute attack of gouty arthritis.3 Most patients with digital contractures caused by tophi or tenosynovitis have undergone surgery.3-7 In this article, we report a case of successful medical treatment of extensive gouty digital flexion contractures. A 51-year old male patient presented with an 18-month history of an inability to flex his right second to fourth fingers. There was no family history of gout. Physical examination showed no mass or erythema in his hands, and no sensory deficits. Passive limitations of motion were present. The active range of motion of the right second to fourth metacarpophalangeal (MCP) joints and that of the right second to fourth

Extensive Digital Contractures Caused by Gout