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Journal of Hand Surgery (British and European Volume)
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Articles

Management of Tophaceous Gout of the Distal Interphalangeal Joint

C. S. MUDGAL

From the Orthopaedic Hand Service, Massachusetts General Hospital, Yawkey Center, Suite 2100, 55 Fruit Street, Boston, MA 02114, USA

Correspondence: Mr C. S. Mudgal, MD, Orthopaedic Hand Service Massachusetts General Hospital, Yawkey Center, Suite 2100, 55 Fruit Street, Boston, MA 02114, USA. Tel.: +1 617 726 8530; fax: +1 617 724 8532. E-mail: cmudgal{at}partners.org

Surgical management of acute tophaceous gout of the distal interphalangeal joint is often associated with delayed wound healing. Aspiration through neighbouring uninvolved skin is a safe method of treating these tophi. For persistently symptomatic, unstable DIP joints, arthrodesis should be considered.

Key Words: gout • tophus • finger • interphalangeal joint

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 1, 101-103 (2006)
DOI: 10.1016/J.JHSB.2005.09.003
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