Atypical Trigger Finger: First Manifestation of Gout  

作　　者：David Chen Hol Chieng Xiyuan Ang Chee Chien Teoh Mohamad Hafiz Mohmad Hassim 

机构地区：[1]Department of Trauma and Orthopaedic, Hospital Bintulu, Bintulu, Malaysia [2]Orthopaedic Department, International Islamic University Malaysia, Kulliyyah of Medicine, Bandar Indera Mahkota Campus, Kuantan, Malaysia

出　　处：《Open Journal of Orthopedics》2018年第11期423-428,共6页矫形学期刊（英文）

摘　　要：Gout is a form of inflammatory arthritis caused by hyperuricemia characterized by painful, hot and swollen joints. However, tophi involving carpal tunnel with concomitant presence of finger movement dysfunction as the first presentation of gout is rare. This suggests the involvement of flexor tendon inside the carpal tunnel. Here, we report a case of infiltration of tophi at the flexor tendon of the hand presented as the first clinical manifestation of gout causing trigger finger like symptoms. Patient underwent surgery to confirm the diagnosis and improve flexor tendon excursion. Our patient’s finger movement improved dramatically after operation.Gout is a form of inflammatory arthritis caused by hyperuricemia characterized by painful, hot and swollen joints. However, tophi involving carpal tunnel with concomitant presence of finger movement dysfunction as the first presentation of gout is rare. This suggests the involvement of flexor tendon inside the carpal tunnel. Here, we report a case of infiltration of tophi at the flexor tendon of the hand presented as the first clinical manifestation of gout causing trigger finger like symptoms. Patient underwent surgery to confirm the diagnosis and improve flexor tendon excursion. Our patient’s finger movement improved dramatically after operation.

关 键 词：FLEXOR Digitorum Superficialis TENDON Tophaceous GOUT TRIGGER Finger Rare 

分 类 号：R73[医药卫生—肿瘤]