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Carpal tunnel syndrome caused by gouty tophus of the flexor tendons of the fingers: Sonographic features

✍ Scribed by Aravindakannan Therimadasamy; Yeong Pin Peng; Thomas Choudary Putti; Einar Patrick Vincent Wilder-Smith


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
553 KB
Volume
39
Category
Article
ISSN
0091-2751

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✦ Synopsis


Abstract

We report the case of a 23‐year‐old male presenting with carpal tunnel syndrome and a swelling over the flexor surface of the wrist. MRI findings were initially suggestive of a median nerve schwannoma but sonography (US) showed a heterogenous mass infiltrating the flexor tendons of the fingers and displacing the median nerve in the carpal tunnel. US findings were confirmed by surgical exploration, which revealed a gouty tophus of the flexor tendons of the fingers at the wrist with secondary median nerve displacement and compression. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound 2011.


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