Atypical triggering at the wrist due to intratendinous infiltration of tophaceous gout.

Department of Orthopaedic Surgery, Dokkyo Medical University, Koshigaya Hospital, 2-1-50 Minami-koshigaya, Koshigaya, Saitama 343-8555, Japan,
Hand 08/2008; 4(1):78-80. DOI: 10.1007/s11552-008-9120-4
Source: PubMed


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.

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    ABSTRACT: This article summarizes the structural damage that is observed in advanced gout and current understanding of the mechanisms by which this damage occurs. Interactions between monosodium urate crystals and cells within the joint are described as well as knowledge gained from imaging studies. Future research directions and potential therapeutic strategies for the prevention and treatment of joint damage in gout are also discussed.
    Rheumatic diseases clinics of North America 05/2014; 40(2):291-309. DOI:10.1016/j.rdc.2014.01.006 · 2.69 Impact Factor


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