Carpal tunnel syndrome caused by tophi in the superficial flexor tendon: a case report

Carpal tunnel syndrome (CTS) is the most common disease among peripheral nerve entrapment diseases. CTS is often caused by the hyperplasia of the transverse carpal ligament and edema of tissue in the carpal tunnel, resulting in compression of the median nerve. Specific manifestations of CTS include...

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Main Authors: Haihu Hao, Weijie Kong, Han Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2023.1282202/full
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author Haihu Hao
Weijie Kong
Han Li
author_facet Haihu Hao
Weijie Kong
Han Li
author_sort Haihu Hao
collection DOAJ
description Carpal tunnel syndrome (CTS) is the most common disease among peripheral nerve entrapment diseases. CTS is often caused by the hyperplasia of the transverse carpal ligament and edema of tissue in the carpal tunnel, resulting in compression of the median nerve. Specific manifestations of CTS include numbness, loss of skin sensation in the palm and three and a half fingers on the radial side, and decreased muscle strength; however, CTS caused by wrist tophi is very rare. To our knowledge, CTS with median nerve compression caused by tophi in the superficial flexor tendon of the index finger of the wrist has not been reported before. Here, we will report a case of CTS caused by tophi in the wrist in a 37-year-old patient with no history of gout. CTS caused by tophi is uncommon, but if the patient has high uric acid, CTS may be due to tophi.
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spelling doaj.art-0cd65f2f0b604d7da10ef819a7c11f4f2023-12-14T13:59:02ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-12-011010.3389/fsurg.2023.12822021282202Carpal tunnel syndrome caused by tophi in the superficial flexor tendon: a case reportHaihu Hao0Weijie Kong1Han Li2Department of Orthopedics, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, Shanxi, ChinaDepartment of Orthopedics, Third Hospital of Shanxi Medical University, Taiyuan, Shanxi, ChinaDepartment of Orthopedics, Third Hospital of Shanxi Medical University, Taiyuan, Shanxi, ChinaCarpal tunnel syndrome (CTS) is the most common disease among peripheral nerve entrapment diseases. CTS is often caused by the hyperplasia of the transverse carpal ligament and edema of tissue in the carpal tunnel, resulting in compression of the median nerve. Specific manifestations of CTS include numbness, loss of skin sensation in the palm and three and a half fingers on the radial side, and decreased muscle strength; however, CTS caused by wrist tophi is very rare. To our knowledge, CTS with median nerve compression caused by tophi in the superficial flexor tendon of the index finger of the wrist has not been reported before. Here, we will report a case of CTS caused by tophi in the wrist in a 37-year-old patient with no history of gout. CTS caused by tophi is uncommon, but if the patient has high uric acid, CTS may be due to tophi.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1282202/fullcarpal tunnel syndrometophaceous goutflexor tendonsurgerycase report
spellingShingle Haihu Hao
Weijie Kong
Han Li
Carpal tunnel syndrome caused by tophi in the superficial flexor tendon: a case report
Frontiers in Surgery
carpal tunnel syndrome
tophaceous gout
flexor tendon
surgery
case report
title Carpal tunnel syndrome caused by tophi in the superficial flexor tendon: a case report
title_full Carpal tunnel syndrome caused by tophi in the superficial flexor tendon: a case report
title_fullStr Carpal tunnel syndrome caused by tophi in the superficial flexor tendon: a case report
title_full_unstemmed Carpal tunnel syndrome caused by tophi in the superficial flexor tendon: a case report
title_short Carpal tunnel syndrome caused by tophi in the superficial flexor tendon: a case report
title_sort carpal tunnel syndrome caused by tophi in the superficial flexor tendon a case report
topic carpal tunnel syndrome
tophaceous gout
flexor tendon
surgery
case report
url https://www.frontiersin.org/articles/10.3389/fsurg.2023.1282202/full
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AT weijiekong carpaltunnelsyndromecausedbytophiinthesuperficialflexortendonacasereport
AT hanli carpaltunnelsyndromecausedbytophiinthesuperficialflexortendonacasereport