Carpal Tunnel Syndrome Caused by Gout: Clinical Presentations, Surgical Findings, and Outcomes After Surgery: 痛風引起腕管道綜合症的臨床表現、手術發現和術後結果

Background/PurposeCarpal tunnel syndrome caused by gout is rare. We presented our experience in treating these patients.MethodsWe conducted a retrospective review of cases treated from 2010 to 2013. Eight patients were identified out of 348 carpal tunnel releases performed.ResultsAll patients were male. All patients had gouty tophi on the same hand and other locations on the body. Open carpal tunnel release was performed on all patients. There was gouty tenosynovitis in all patients but no encasement of the median nerve. The mean follow-up was 16 months. Numbness improved in seven out of eight patients.ConclusionGout should be considered a cause of carpal tunnel syndrome, particularly in patient with a history of gout. Early surgical outcome is promising. Longer follow-up is needed to detect recurrence.

中 文 摘 要簡介: 由痛風引起的腕管道綜合症並不常見。我們報告了有關治療這些病者的經驗。方法: 這是一個回顧性的硏究。我們收集了從2010至2013年間因腕管道綜合症接受治療的病例，發現有八位病者是由痛風引起的。結果: 所有病者都是男性。所有病者都在身體的不同部位發現有痛風石。手術發現所有病者都受痛風所引起的腱鞘炎影響。但是正中神經並沒有直接受到痛風侵害。我們平均跟進病人十六個月。八個病者之中有七位的手部麻痺減輕了。結論: 痛風可以作為腕管道綜合症的成因之一。在有痛風病歷的腕管道綜合症病者中更特別留神。術後初期病人康復良好。需要更長期跟進才可獲知復發機會。