Multiple Tophaceous Gout of Hand with Extensor Tendon Rupture

Figure 3

(a) Intraoperative findings. Hypertrophic white crystal deposits consistent with gouty tophi are seen surrounding the extensor digitorum communis of the index finger and extensor indicis proprius tendon. (b) After debridement of the tophi, the extensor indicis proprius was found to be intact but slightly elongated.