Meyer Zu Reckendorf G, Dahmam A
Institut Montpelliérain de la Main et du Membre Supérieur, Clinique Saint-Roch, 560, rue du Colonel-Pavelet, 34070 Montpellier, France.
Institut Montpelliérain de la Main et du Membre Supérieur, Clinique Saint-Roch, 560, rue du Colonel-Pavelet, 34070 Montpellier, France.
Hand Surg Rehabil. 2018 May 17. doi: 10.1016/j.hansur.2018.02.005.
Damage to the hand in patients suffering from gout is rare and is often detected at an advanced stage. The main clinical manifestations are the appearance of subcutaneous tophi at the finger joints. Other clinical manifestations of osteoarticular, tendinous or neurological lesions have been described in the hand and are often difficult to diagnose. In the majority of cases, surgery and adequate medical care with a suitable anti-gout treatment will allow the patient to recover normal hand function. However, surgical treatment is rare and is only performed after several months of carefully adapted medical treatment. The purpose of this article is to present the various clinical forms of gout in the hand and their surgical management.
痛风患者手部受损情况罕见，且往往在疾病晚期才被发现。主要临床表现为手指关节出现皮下痛风石。手部骨关节炎、肌腱或神经病变的其他临床表现也有相关描述，且常常难以诊断。在大多数情况下，手术及适当的医疗护理并配合合适的抗痛风治疗可使患者恢复手部正常功能。然而，手术治疗很少见，且仅在经过数月精心调整的药物治疗后才进行。本文旨在介绍手部痛风的各种临床症状及其手术治疗方法。
