Qu Chenchen, Deng Heping, Lu Bo, Mi Yaru, Ye Hui, Zhu Yaru
Department of Ultrasound Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Trauma Emergency Center, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Front Surg. 2025 May 13;12:1503085. doi: 10.3389/fsurg.2025.1503085. eCollection 2025.
Carpal tunnel syndrome (CTS) caused by gouty tophi is a rare clinical condition. In this case, ultrasonography clearly identified gouty tophi deposited within the superficial flexor tendon of the right middle finger, resulting in tendon thickening. The thickened tendon was constrained by the transverse carpal ligament, leading to restricted finger movement. Additionally, when the finger was extended, the thickened tendon slid beneath the transverse carpal ligament, triggering severe symptomatic episodes of CTS. This observation provided direct evidence of the underlying etiology of CTS in this patient.
痛风石导致的腕管综合征（CTS）是一种罕见的临床病症。在此病例中，超声检查清晰地识别出右手中指浅屈肌腱内沉积的痛风石，导致肌腱增厚。增厚的肌腱受到腕横韧带的限制，致使手指活动受限。此外，当手指伸展时，增厚的肌腱在腕横韧带下方滑动，引发CTS的严重症状发作。这一观察结果为该患者CTS的潜在病因提供了直接证据。
