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CaseReport Article

Bilateral Carpal Tunnel Syndrome Secondary to Tophaceous Compression of the Median Nerves

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Pages 107-108 | Received 04 Aug 1995, Accepted 15 Dec 1995, Published online: 12 Jul 2009
 

Abstract

A 64-year-old man with long-term gouty arthritis developed bilateral carpal tunnel syndrome. At surgery a chalky substance, which showed negative birefringence on polarized microscopy, was found infiltrating around the intensely inflamed transverse carpal ligaments. In differential diagnosis of carpal tunnel syndrome, tophaceous compression over the median nerve should also be taken into consideration.

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