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Updated: May 17, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Gouty wrist arthritis causing carpal tunnel syndrome--a case report
M F Sikkandar1, J Sapuan, R Singh
1Department of Orthopaedics, Faculty of Medicine, National University of Malaysia, 56000 Cheras, Kuala Lumpur. drfaizal786@yahoo.com
Abstract:
A 63 year old male with a history of gout and hypertension presented with carpal tunnel syndrome. He gave history of bilateral wrist pain associated with numbness over the median nerve distribution of the hand. Tinels sign and Phalens test were positive with no obvious thenar muscle wasting on examination. Tophaceous deposits in the flexor tendons and within the synovium of the wrist joint was seen during surgery and this established gout as the cause of median nerve entrapment in this patient.
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