PMC9853401_01
Preoperative examination showing that gout nodules of different sizes could be touched in both hands.
fsurg-09-942062-g001.jpg
PMC9853401_01_fsurg-09-942062-g001.jpg
F1
Upon physical examination, it was found that the patient had gout nodules of different sizes in the dorsum of the right hand, middle finger, metacarpophalangeal and interphalangeal joints, confirming gouty arthritis (Figure 1).
Operative findings: gout tophi (red arrows) deposited under the epineurium of the median nerve.
fsurg-09-942062-g002.jpg
PMC9853401_01_fsurg-09-942062-g002.jpg
F2
We took a vertical wrist incision, opened the carpal tunnel, and found some gouty mass deposited under the epineurium of the median nerve (Figure 2).