Gouty tenosynovitis with compartment syndrome in the hand: A case report

Figure 1 Gouty tenosynovitis with compartment syndrome in the hand of a 82-year-old male. A and B: Preoperative view at emergency room compared with normal left hand; C and D: Preoperative Sagittal T2-weighted magnetic resonance imaging findings demonstrate tenosynovitis of the flexor digitorum tendons and ulnar bursa with hypertrophied synovium (orange arrowheads); E and F: The extensor tendon sheath, particularly the ulnar head joint space, was found to be involved and tophi with milk-like synovial fluid was drained; G: Intraoperatively, diffuse tenosynovitis surrounding the flexor tendons and the presence of tophi with a milk-like pus-like appearance around the carpal tunnel were observed; H: Volar view at 6 wk postoperatively; I: Dorsal view at 6 wk postoperatively. The wound recovered without any surgical complications.