Moore J R, Weiland A J
J Hand Surg Am. 1985 Mar;10(2):291-5. doi: 10.1016/s0363-5023(85)80127-1.
Gouty tenosynovitis can present as an infection, tendon rupture, nerve compression, or digital stiffness. In ten patients, extensive urate deposition was encountered in the extensor tendons at both the wrist and digital levels in addition to involvement of the flexor tendons in the carpal canal and digital theca. Direct nerve or muscle involvement was not observed in the hand. Medical therapy, which is now the cornerstone of treatment for most aspects of gout, may not be the best treatment for tophaceous deposits in the hand. Operative treatment may be required to debulk tophaceous deposits, improve tendon gliding, decompress nerves, allow increased range of motion of joints, and ameliorate pain.
痛风性腱鞘炎可表现为感染、肌腱断裂、神经受压或手指僵硬。在10例患者中，除腕管和指腱鞘内的屈肌腱受累外，还在腕部和手指水平的伸肌腱中发现大量尿酸盐沉积。手部未观察到神经或肌肉直接受累。药物治疗目前是痛风大多数方面治疗的基石，但可能不是手部痛风石沉积的最佳治疗方法。可能需要手术治疗以清除痛风石沉积、改善肌腱滑动、解除神经压迫、增加关节活动范围并缓解疼痛。
