Author(s)

David Chen Hol Chieng^1*, Xiyuan Ang¹, Chee Chien Teoh¹, Mohamad Hafiz Mohmad Hassim²

¹Department of Trauma and Orthopaedic, Hospital Bintulu, Bintulu, Malaysia.
²Orthopaedic Department, International Islamic University Malaysia, Kulliyyah of Medicine, Bandar Indera Mahkota Campus, Kuantan, Malaysia.

Gout is a form of inflammatory arthritis caused by hyperuricemia characterized by painful, hot and swollen joints. However, tophi involving carpal tunnel with concomitant presence of finger movement dysfunction as the first presentation of gout is rare. This suggests the involvement of flexor tendon inside the carpal tunnel. Here, we report a case of infiltration of tophi at the flexor tendon of the hand presented as the first clinical manifestation of gout causing trigger finger like symptoms. Patient underwent surgery to confirm the diagnosis and improve flexor tendon excursion. Our patient’s finger movement improved dramatically after operation.

Flexor Digitorum Superficialis Tendon, Tophaceous Gout, Trigger Finger, Rare

Chieng, D. , Ang, X. , Teoh, C. and Hassim, M. (2018) Atypical Trigger Finger: First Manifestation of Gout. Open Journal of Orthopedics, 8, 423-428. doi: 10.4236/ojo.2018.811044.