TITLE:
Atypical Trigger Finger: First Manifestation of Gout
AUTHORS:
David Chen Hol Chieng, Xiyuan Ang, Chee Chien Teoh, Mohamad Hafiz Mohmad Hassim
KEYWORDS:
Flexor Digitorum Superficialis Tendon, Tophaceous Gout, Trigger Finger, Rare
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.8 No.11,
November
12,
2018
ABSTRACT: 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.