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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2017; 45(01): 035-039
DOI: 10.1055/s-0037-1603104
Case Report | Caso Clínico
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Retracción de los dedos y síndrome de túnel carpiano secundarios a infiltración gotosa de tendones flexores de la mano

Finger Contracture and Tunnel Carpal Syndrome Secondary to Gout on the Flexor Tendons of the Hand
E. Rodríguez Pérez
1   Médico Interno Residente, Servicio de Cirugía Plástica, Complejo Hospitalario Universitario A Coruña, A Coruña, España
,
S. A. González Porto
1   Médico Interno Residente, Servicio de Cirugía Plástica, Complejo Hospitalario Universitario A Coruña, A Coruña, España
,
A. Álvarez Jorge
2   Médico Adjunto, Servicio de Cirugía Plástica, Complejo Hospitalario Universitario A Coruña, A Coruña, España
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Publikationsverlauf

29. Juli 2016

03. April 2017

Publikationsdatum:
14. Juni 2017 (online)

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Resumen

Presentamos un caso de afectación gotosa de los tendones flexores de la mano a nivel de la zona IV flexora, en un paciente con clínica compresiva de nervio mediano y retracción de los dedos largos de la mano. Se realiza una revisión de la gota como etiología de síndrome de túnel del carpo secundario y retracción de los dedos largos, así como las distintas opciones de tratamiento tanto médico como quirúrgico.

Abstract

A case of gout involving the flexor tendons of the hand in flexor zone IV in a patient presenting entrapment of the median nerve and flexion contracture of the digits. A good result was obtained by resecting the intratendinous tophi and reconstructing tendinous graft in the same procedure. There is made a revision of gout as a cause of secondary tunnel carpal syndrome and digital flexion contracture is made, as well as the different options of both medical and surgical treatment.

Palabras Clave

gota - tendones - mano - rigidez - síndrome túnel carpiano

Keywords

gout - tendons - hand - contracture - carpal tunnel syndrome
 

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