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.


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


  • Uric Acid