Unusual Locked Trigger Finger Due to Tophaceous Infiltration of Wrist Flexor Tendon
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 7
Abstract
Tophi can present as a first sign of hyperuricemia but reports on the involvement of the flexor tendons of the hand is rare. Although tuberculous tenosynovitis is a more common etiology for swelling over the wrist, gout must be among the differentials irrespective of hyperuricemic status. Because of its low frequency, gouty involvement of the flexor tendons is not often considered in the differential diagnosis of tenosynovitis. We report a rare case in which intratendinous tophaceous gout was found within the flexor digitorumsuperficialis tendon at the wrist causing patient to have trigger finger like symptoms.Gout is an inflammatory arthritis caused by cellular deposition of monosodium urate crystal [1]. Tophi are chalky, gritty accumulations of monosodium urate crystals that build up in soft tissue in an untreated gouty joint [1]. The peak incidence of gout is between the ages of 30-50 with the prevalence increasing with age [1]. Gout is five times more common in men [1]. Tophi can present as a first sign of hyperuricemia but reports on the involvement of the flexor tendons of the hand is rare [2]. Although tuberculous tenosynovitis is a more common etiology for swelling over the wrist, gout must be among the differentials irrespective of hyperuricemic status. It can present clinically as tendon rupture, nerve compression, or digital stiffness and can be complicated with infection1. Because of its low frequency, gouty involvement of the flexor tendons is not often considered in the differential diagnosis of tenosynovitis [2]. We report a rare case in which intratendinoustophaceous gout was found within the flexor digitorum superficialis tendon at the wrist causing patient to have trigger finger like symptoms.
Authors and Affiliations
William Hau Wuei Huang, Juzaily Fekry Leong, Shalimar Abdullah
Keywords
Related Articles
- EP ID EP583246
- DOI 10.26717/BJSTR.2017.01.000599
- Views 157
- Downloads 0
Halitosis Treatment Through the Administration of Antibiotic-Resistant Probiotic Lactic Yeast Kluyveromyces marxianus fragilis B0399 (K-B0399)
Halitosis (oral malodour) is a common problem, which creates severe social and relational difficulties. The most popular approach is to mask the smell, without considering the bacterial aetiology of the problem. The aim...
Applications of Mass-Spectrometry Based Quantitative Proteomics to Understand Complex Cellular Functions and Cell Fate Decisions
Unlike the transcriptome, quantification of the proteome still requires the development of special strategies. Transcriptomics platforms such as microarray- and RNAseq-based approaches are designed to uncover the informa...
Some Comments on Pyrite’s Structure
Pyrite, a natural mineral with chemical formula of FeS2, is widely distributed in ores [1,2]. Relatively high concentration of impurity atoms in pyrite is obviously reflects its mineral typomorphism. One of the factors,...
Assessment of Cyber bullying and Emotional Stability among Higher Secondary Students
The influence of social network in present days becoming rampant in our society, our teenagers, especially school and college students massively use the internet, by using the social networking sites via email, facebook,...
Spontaneous Internal Drainage of Iatrogenic Oesophageal Perforation
Oesophageal perforation is a potentially fatal disease; however, with newer technologies many strategies are available to manage this. We present a case of a 60 year old woman with iatrogenic perforation of Zenker’s dive...