Case ReportOpen Access

Unusual Locked Trigger Finger Due to Tophaceous Infiltration of Wrist Flexor Tendon

Volume 1 - Issue 7

**William Hau Wuei Huang*, Juzaily Fekry Leong, Shalimar Abdullah and Jamari Sapuan**

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- Department of Orthopaedic and Traumatology, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia
*Corresponding author: William Hau Wuei Huang, Department of Orthopaedic and Traumatology, Faculty of Medicine, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia

Received: December 12, 2017; Published: December 15, 2017

DOI: 10.26717/BJSTR.2017.01.000599

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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.

Keywords: Tophaceous Gout; Trigger finger; Tenosynovectomy