Cubital Tunnel Syndrome Caused By Uric Acid Tophi An Unusual Case

Dimitrios Skouteris, Georgios Andritsos, Nikolaos Tasios and Vassilios Psychoyios
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Vassilios Psychoyios: 5th Orthopaedic Department, Asklepieion Voulas General Hospital, Greece

Orthopedics and Rheumatology Open Access Journals, 2017, vol. 7, issue 1, 29-32

Abstract: We present a rare case of ulnar nerve compression by deposits of uric acid crystals at the cubital tunnel. Diagnosis of ulnar neuritis was largely based on the symptoms, patterns of paresthesia, and also specific patterns of muscle weakness. Nerve compression by tophi was documented during surgery. The tophi were completely resected and the nerve fully decompressed. Surgical treatment was followed by prompt recovery from ulnar neuropathy and also clinical symptoms. At twenty two months follow-up there was no evidence of recurrence. In the clinical setting of gout, tophi might be recognized as another cause of cubital tunnel syndrome. Given the high index of suspicion, early diagnosis and careful excision is associated with a satisfactory outcome

Keywords: journal of orthopaedics; orthopaedics journals impact factor; orthopaedics articles impact factor; scholarly publishing orthopedics journals; juniper publishers opena ccess orthopedics journal; Rheumatology; rheumatology journals impact factor 2018; rheumatology journals impact factor; rheumatology open access journals; juniper publishers review (search for similar items in EconPapers)
Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:adp:joroaj:v:7:y:2017:i:1:p:29-32

DOI: 10.19080/OROAJ.2017.07.555707

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