Open AccessCarpal Tunnel Syndrome and Finger Movement Dysfunction Caused By Tophaceous Gout: A Case Report
Author(s) -
Lin YuChuan,
Chen ChungHwan,
Fu YinChih,
Lin GauTyan,
Chang JeKen,
Hu SheangTsung
Publication year - 2009
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70038-5
Subject(s) - medicine , carpal tunnel syndrome , carpal tunnel , gout , trigger finger , surgery , concomitant , entrapment neuropathy , median nerve , pathology , alternative medicine
We describe a case of tophaceous gout with a combination of carpal tunnel syndrome and finger movement dysfunction. Carpal tunnel syndrome secondary to gout is uncommon. The concomitant presence of finger movement dysfunction is rare and suggests the involvement of the flexor tendons inside the carpal tunnel. Surgery is recommended to decompress the median nerve, to confirm the diagnosis, and for immediate improvement of flexor tendon excursion. Our patient's finger movement improved dramatically soon after surgery.