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

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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