Management of Gout in the Hand and Wrist

Hayden S Holbrook; James H Calandruccio

doi:10.1016/j.ocl.2023.02.003

Management of Gout in the Hand and Wrist

Orthop Clin North Am. 2023 Jul;54(3):299-308. doi: 10.1016/j.ocl.2023.02.003. Epub 2023 Mar 23.

Authors

Hayden S Holbrook¹, James H Calandruccio²

Affiliations

¹ Campbell Clinic Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee Health Science Center, Memphis, TN, USA. Electronic address: [email protected].
² Campbell Clinic Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee Health Science Center, Memphis, TN, USA.

PMID: 37271558
DOI: 10.1016/j.ocl.2023.02.003

Abstract

Gout, or monosodium urate deposition disease, is the most common form of inflammatory arthritis that affects almost 4% of adults in the United States.Medical management involves lifestyle modifications and urate-lowering therapy to reduce the frequency of gout flares, decrease the tophi size, and improve upper extremity function. Goals for surgical management of gout include functional optimization, symptomatic treatment, and cosmetic restoration.This article focuses on the medical and surgical treatment of the common manifestations of gout in the upper extremity including tophi, tenosynovitis, joint contractures, neural compression, and arthropathy.

Keywords: Gout; Hand; Hyperuricemia; Inflammatory arthritis; Surgical treatment; Uric acid; Wrist.

Publication types

Review

MeSH terms

Adult
Gout* / therapy
Humans
Hyperuricemia*
Upper Extremity
Uric Acid
Wrist

Substances

Uric Acid