Tophaceous Gout of the Patella: A Report of Two Cases

Hopper, Graeme P.; Gupta, Sanjay; Bethapudi, Sarath; Ritchie, David A.; MacDuff, Elaine; Mahendra, Ashish

doi:10.1155/2012/253693

Cited by 10 publications

(10 citation statements)

References 12 publications

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“…The knee is the third most commonly affected site in gout after the foot and ankle [10]. However, isolated patellar involvement, especially leading to the patellar fracture, was rarely reported [1][2][3][4][5][6][7][8][9]. Tophaceous gout of the patella was first reported by Peloquin and Graham who in 1955 described a patient with erosion of the patella at surgery [11].…”

Section: Discussionmentioning

confidence: 99%

“…Pathological fracture of the patella caused by gout is pretty rare. Only sporadic published articles have reported pathological patellar fracture due to gout during the last several decades [1][2][3][4][5][6][7][8][9]. In this paper we report a case of gout tophi in the left patella and surrounding soft tissue, the severe transverse fracture resulting from relatively minor trauma.…”

Section: Introductionmentioning

confidence: 99%

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Pathologic Fracture of The Patella Secondary to a Gouty Tophus

Zhu¹,

Lian²,

Long³

et al. 2019

SCR

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A B S T R A C TGout is a rare cause of patellar fracture, with few documented cases. We report a case of gout tophi in the patella, the severe transverse fracture resulting from minor trauma. The patient was managed by the same treatment principles used for patients with nonpathologic patella fractures. We preformed excising the mass, fixing the bone fragment and filling in bone defect with allograft bone. Union of the fracture was seen at three months follow-up. The patient has recovered completely and returned to his former work after 3 months postoperatively.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pathologic Fracture of The Patella Secondary to a Gouty Tophus

Zhu¹,

Lian²,

Long³

et al. 2019

SCR

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“…Bone erosions typically occur at the sites of tophi formation [4]. Gout involvement of the extensor tendons of the knee is not uncommon, but involvement of the patella is rare [5], [6].…”

Section: Discussionmentioning

confidence: 99%

Tophaceous gout with rare involvement of the patella

Clark

Evans

Armstrong

et al. 2016

Radiology Case Reports

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Gout arthritis is an inflammatory arthritis caused by hyperuricemia from various etiologies. It is typically a polyarticular arthritis with the most common joint involved being the first metatarsophalangeal joint. We present a case of gout of the knee with characteristic magnetic resonance imaging findings and rare involvement of the patella. Radiographic findings of gout are diagnostic; however, they manifest many years after the onset of the disease process. Control of symptoms and progression of the disease is possible with correct treatment made possible by early diagnosis.

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“…Ko et al 7 evaluated the locations and associated erosions of tophaceous gout in knees of 30 patients and detected only one intraosseous tophus in the patella. Hopper et al 8 reported two patients with gouty involvement of patella with pathological fracture and bipartite patella. We were able to find only one case report in the English literature with bilateral lesions of patellae similar to our case.…”

Section: Discussionmentioning

confidence: 99%