L’atteinte des tendons fléchisseurs dans la maladie goutteuse. À propos d’un cas et revue de la littérature

Reckendorf, G. Meyer Zu; Lupascu, D.

doi:10.1016/j.main.2010.04.004

Cited by 8 publications

(3 citation statements)

References 11 publications

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“…Gouty infiltration leading to proximal interphalangeal joint (PIP) joint stiffness has also been described. 1 In 2010, Meyer zu Reckendorf and Lupascu 6 presented the case of a 57-year-old patient with flexion deformity of the ring finger who was found to have a diffuse gouty infiltration of the flexor tendons, mainly FDS, in the flexor tendon sheath. The authors describe curettage of the gouty deposits at the A2 pulley and arthrolysis of the PIP joint at these areas to restore the full extension of the digit.…”

Section: Discussionmentioning

confidence: 99%

“…The authors describe curettage of the gouty deposits at the A2 pulley and arthrolysis of the PIP joint at these areas to restore the full extension of the digit. 6 In 2017, Bray et al 7 describe gouty deposits in the flexor tendons extending from the A1 pulley to the A3 pulley, which caused triggering and locking of a digit. Release of the A1 pulley was sufficient in this case to improve hand function.…”

Section: Discussionmentioning

confidence: 99%

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Gouty Stenosing Tenosynovitis: Trigger Finger as a First Presentation of Tophaceous Gout

Doucet

McLeod

Petropolis

2020

Plastic and Reconstructive Surgery - Global Open

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Summary: 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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Gouty Stenosing Tenosynovitis: Trigger Finger as a First Presentation of Tophaceous Gout

Doucet

McLeod

Petropolis

2020

Plastic and Reconstructive Surgery - Global Open

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“…Tophi is normally present in long term disease and generally located in elbow, ear pinna and Achilles tendon. Tophi involve the flexor tendons in the hand as the first presentation of gout is uncommon [3]. Rarity of this injury leads to scarcity of reports detailing its management and outcome.…”

Section: Introductionmentioning

confidence: 99%

Atypical Trigger Finger: First Manifestation of Gout

Chieng¹,

Ang²,

Teoh³

et al. 2018

OJO

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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.

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Hand involvement in gout

Reckendorf

Dahmam

2018

Hand Surgery and Rehabilitation

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L’atteinte des tendons fléchisseurs dans la maladie goutteuse. À propos d’un cas et revue de la littérature

Cited by 8 publications

References 11 publications

Gouty Stenosing Tenosynovitis: Trigger Finger as a First Presentation of Tophaceous Gout

Gouty Stenosing Tenosynovitis: Trigger Finger as a First Presentation of Tophaceous Gout

Atypical Trigger Finger: First Manifestation of Gout

Hand involvement in gout

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