Carpal tunnel syndrome caused by tophaceous gout: CT and MR imaging features in 20 patients.

作者: Clement K. H. Chen , Christine B. Chung , LeeRen Yeh , Huay-Ben Pan , Chien-Fang Yang

DOI: 10.2214/AJR.175.3.1750655

关键词:

摘要: OBJECTIVE. The objective of this study is to describe the CT and MR imaging findings gouty tophi in wrist present entity as a cause carpal tunnel syndrome.MATERIALS AND METHODS. Retrospective review (n = 18) 20) studies patients with documented diagnosis gout who presented gout-related syndrome was performed; images 24 wrists were collected over 5-year period. Patient population included 20 men, ranged age from 35 76 years. All reviewed by two musculoskeletal radiologists reached consensus opinion. Surgical correlation available 12 patients.RESULTS. Tophi found floor 18), bones 17), radiocarpal joint extensor tendons or tendon sheaths 16) wrist. showed similar signal characteristics (from low intermediate intensity on T1-weighted heterogeneous T2-weight...

参考文章(24)
GEORGE S. PHALEN, The carpal tunnel syndrome. Journal of Bone and Joint Surgery, American Volume. ,vol. 48, pp. 211- 228 ,(1966) , 10.2106/00004623-196648020-00001
M R Starr, V M Bonaldi, J Richardson, H Duong, L Sarazin, Tophaceous gout of the lumbar spine mimicking an epidural abscess: MR features. American Journal of Neuroradiology. ,vol. 17, pp. 1949- 1952 ,(1996)
J. Russell Moore, Andrew J. Weiland, Gouty tenosynovitis in the hand. Journal of Hand Surgery (European Volume). ,vol. 10, pp. 291- 295 ,(1985) , 10.1016/S0363-5023(85)80127-1
Steven N. Graff, John G. Seiler, Jesse B. Jupiter, Acute gout after carpal tunnel release. Journal of Hand Surgery (European Volume). ,vol. 17, pp. 1031- 1032 ,(1992) , 10.1016/S0363-5023(09)91054-1
STEPHEN R. PLEDGER, BERNARD HIRSCH, RICHARD A. FREIBERG, Bilateral carpal tunnel syndrome secondary to gouty tenosynovitis: a case report. Clinical Orthopaedics and Related Research. pp. 188- ,(1976) , 10.1097/00003086-197607000-00035
Clement K. H. Chen, Lee Ren Yeh, Huay-Ben Pan, Chien-Fang Yang, Yih-Chau Lu, Jyh-Seng Wang, D. Resnick, Intra-articular gouty tophi of the knee: CT and MR imaging in 12 patients. Skeletal Radiology. ,vol. 28, pp. 75- 80 ,(1999) , 10.1007/S002560050477
G. Seidl, R. Ullrich, S. Trattnig, M. Dominkus, M. Morscher, M. Aringer, H. Imhof, MR-Bildgebung bei der Gicht Der Radiologe. ,vol. 36, pp. 632- 636 ,(1996) , 10.1007/S001170050121
Kamal K. Kalia, John J. Moossy, Carpal tunnel release complicated by acute gout. Neurosurgery. ,vol. 33, pp. 1102- 1103 ,(1993) , 10.1097/00006123-199312000-00021
C OGILVIE, N KAY, Fulminating Carpal Tunnel Syndrome Due to Gout Journal of Hand Surgery (European Volume). ,vol. 13, pp. 42- 43 ,(1988) , 10.1016/0266-7681(88)90049-6