Hemilaterally symptomatic bipartite patella associated with bone erosions arising from a gouty tophus: A case report

Enomoto, Hiroyuki; Nagosi, Narihito; Okada, Eijoro; Ota, Norikazu; Iwabu, Syouhei; Kamiishi, Satoshi

doi:10.1016/j.knee.2006.09.001

Cited by 16 publications

(15 citation statements)

References 14 publications

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“…Surgical treatment methods comprise methods such as; painful fragment excision, lateral retinacular relaxation, vastus lateralis relaxation, bone grafting or internal fixation of nongraft patellar fragments. [2,[10][11][12] Our patient had been receiving NSAID treatment for a long-term and her pain had become more severe.…”

Section: Discussionmentioning

confidence: 90%

Application of kinesiotaping to treat symptomatic bipartite patella

Dikici¹

2016

Turk J Phys Med Rehab

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Bipartite patella is an accessory bone that can be incidentally observed during radiographic examinations. Hereby we present the efficiency of kinesiotaping treatment to the 32-year-old female patient with a unilateral symptomatic bipartite patella. Her pain worsened with movement. There was sensitivity at the patella upper lateral edge during palpation. She was treated with exercise and kinesiotaping to the left knee every five days for five sessions. The visual analog scale score of the patient decreased.

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Section: Discussionmentioning

confidence: 90%

Application of kinesiotaping to treat symptomatic bipartite patella

Dikici¹

2016

Turk J Phys Med Rehab

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“…Further pathological fractures of the patella due to gout have been published in [1, 2, 11]. Other reports include a nonunion of a patellar fracture as a result of gout [4] and a painful bipartite patella secondary to a gouty tophus [3]. Recht et al reported seven patients with gouty tophi of the patella and concluded that osteolytic lesions of the superolateral portion of the patella with an associated soft tissue mass should raise the possibility of gout [13].…”

Section: Discussionmentioning

confidence: 99%

Tophaceous Gout of the Patella: A Report of Two Cases

Hopper

Gupta

Bethapudi

et al. 2012

Case Reports in Rheumatology

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Introduction. Tophaceous gout of the patella is rare and may masquerade as a tumour or tumour-like condition. Cases. We report two patients with gout involving the patella, one complicated by a pathological fracture and the other occurring in a bipartite patella in a young adult. Discussion. Typical imaging appearances and measurement of serum urate will usually confirm the diagnosis but, occasionally, the serum urate level may be normal in active gout and in such cases, a biopsy will be required. Conclusion. Gout of the patella may masquerade as a tumour or tumour-like condition and it is important to consider gout in the differential diagnosis.

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“…10 Tophaceous gout involving the patella is well documented in the literature, especially in the bipartite patella and as a cause of pathological patella fracture. 16–19 While the patellar tendon has been mentioned as a location of gouty involvement, only 1 case report exists in the literature. 8 To our knowledge, no report exists of an athlete presenting with gouty patellar tendinopathy mimicking jumper’s knee.…”

Section: Discussionmentioning

confidence: 99%

Intratendinous Tophaceous Gout Imitating Patellar Tendonitis in an Athletic Man

Gililland

Webber²,

Jones

et al. 2011

Orthopedics

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Patellar tendon-related pain is common in the athletic patient. When it occurs in skeletally mature patients participating in running, jumping, or kicking sports, the diagnosis of jumper’s knee patellar tendonitis is usually made. If patellar tendon pain is associated with a mass, the differential diagnosis should be broadened to include crystalline arthropathy. This article presents a case of a highly athletic 45-year-old man with a history of gout, anterior knee pain, and an enlarging mass in the region of the patellar tendon. Conservative management failed, and an excisional biopsy found it to be an intra-tendinous gouty tophus. To our knowledge, only 1 report exists documenting a patellar tendon mass secondary to gout, and no case report exists documenting this problem in an athlete. The interplay between athletics and gout has not been well described. Despite the long-term protective nature of fitness, transient elevations in uric acid associated with athletic endeavors may contribute acutely to manifestations of gout in some athletes. Resultant intra- or extra-articular pathology may present as, and easily be mistaken for, a sports-related injury. Without appropriate medical management, tophaceous deposition may continue to occur and treatment of the resultant mass may require surgical intervention.

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Hemilaterally symptomatic bipartite patella associated with bone erosions arising from a gouty tophus: A case report

Cited by 16 publications

References 14 publications

Application of kinesiotaping to treat symptomatic bipartite patella

Application of kinesiotaping to treat symptomatic bipartite patella

Tophaceous Gout of the Patella: A Report of Two Cases

Intratendinous Tophaceous Gout Imitating Patellar Tendonitis in an Athletic Man

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