MEDizzy
MEDizzy
KiAnSh
KiAnShalmost 7 years ago
Diagnosis

Diagnosis

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Top rated comment
almost 7 years ago

Tophous formation in gout

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almost 7 years ago

Gout

almost 7 years ago

Gouty arthritis

almost 7 years ago

Had history of kidney disease

almost 7 years ago

Answer #Tophaceous_gout presents three overlapping issues in the hands: pain; arthropathy; tumor. Medical management is the first line of treatment. Failing that, surgery may be beneficial. Surgery is unpredictable: tophi are not encapsulated, and can diffusely permeate tendons and other soft tissues. Debridement may demonstrate or result segmental tendon loss, and the surgical plan should include the possible need for tendon graft. Arthrodesis is preferable to arthroplasty because of the effect of particulate debris. These cases illustrate surgical excision of bulky tophaceous gout.

almost 7 years ago

Gout

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