Publication Name	World Journal of Clinical Cases
Manuscript ID	39180
Country	China

Category	Orthopedics
Manuscript Type	Case Report
Article Title	Chronic carpal tunnel syndrome caused by covert tophaceous gout: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Peng-Bo Luo and Chang-Qing Zhang
Funding Agency and Grant Number
Corresponding Author	Chang-Qing Zhang, MD, PhD, Full Professor, Department of Orthopaedic Surgery, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Shanghai 200233, China. zhangcq@sjtu.edu.cn
Key Words	Carpal tunnel syndrome; Tophaceous gout; Family medical history; Surgery; Flexor Tendon
Core Tip	A rare cause of carpal tunnel syndrome (CTS) is tophaceous gout. This report represents the first case, to our knowledge, of a patient presenting with typical CTS symptoms, yet lacking any visible or palpable signs of gout in any part of his body. Only after magnetic resonance imaging, surgical inspection, and pathological analysis was it clear that the 25-year-old patient had a large gouty tophus attached to the surface of the distal volar radius adjacent to the digital flexor tendons. Surgical removal of the “covert” tophi and decompression of the median nerve is an effective option for eliminating CTS symptoms.
Citation	Luo PB, Zhang CQ. Chronic carpal tunnel syndrome caused by covert tophaceous gout: A case report. World J Clin Cases 2018; 6(9): 279-283

Received	2018-04-03 01:30
Peer-Review Started	2018-04-03 10:58
To Make the First Decision	2018-05-18 01:11
Return for Revision	2018-05-21 23:56
Revised	2018-05-26 11:29
Second Decision	2018-06-07 12:07
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2018-06-08 05:02
Articles in Press	2018-06-08 05:02
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2018-09-03 09:32

ISSN	2307-8960 (online)
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