Finger Flexion Deformity and Carpal Tunnel Syndrome Caused by Gouty Tophus

Although unusual, tophi in the absence of prior episodes of gouty arthritis can be the initial manifestation of gout1. Atypical triggering at the wrist and carpal tunnel syndrome because of intratendinous infiltration of tophaceous gout have been described only in older patients2,3. A 20-year-old man was referred for the inability to extend the middle and ring fingers of the right hand, which was getting progressively …