Gouty Stenosing Tenosynovitis: Trigger Finger as a First Presentation of Tophaceous Gout.
Autor: | Doucet V; Department of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba, Canada., McLeod GJ; Department of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba, Canada., Petropolis CJ; Department of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba, Canada. |
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Jazyk: | angličtina |
Zdroj: | Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2020 Aug 14; Vol. 8 (8), pp. e3055. Date of Electronic Publication: 2020 Aug 14 (Print Publication: 2020). |
DOI: | 10.1097/GOX.0000000000003055 |
Abstrakt: | Gout can lead to the deposition of tophi and chronic arthritis, for which surgical management is indicated when tophi interfere with the function of the finger. This case report discusses the management of a 37-year-old man with a past medical history of gout who presented with triggering of his small finger from gouty infiltration of his flexor digitorum profundus (FDP) tendon. An exploratory procedure that included tenolysis and release of the A1 pulley was performed. Gouty infiltration of the FDP tendon was noted intraoperatively and biopsied, which was later confirmed by histopathological analysis as being gouty tophus. The patient regained full function of the affected finger postoperatively and has since had no recurrence. Gouty tenosynovitis is a rare cause of trigger finger and should be considered as part of the differential diagnosis. Treatment for gouty tenosynovitis consists of A1 pulley release and careful excision of gouty tophus to restore tendon glide and hand function. (Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.) |
Databáze: | MEDLINE |
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