Tophaceous gout with rare involvement of the patella

Clark, S. Kathleen; Evans, James Markham; Armstrong, Nicholas C.; Schnitz, William

doi:10.1016/j.radcr.2016.07.002

Cited by 9 publications

(4 citation statements)

References 6 publications

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“…В некоторых научных статьях, посвященных внутрикостным подагрическим тофусам, описывалась манифестная клиника подагры с ее лабораторным подтверждением, и отсутствовала связь образования кист с инъекциями ГКС [41,42,43,44,45,46,47,48,49]. Статей, описывающих локализацию тофусов в проксимальном отделе плечевой кости, не было обнаружено.…”

Section: Discussionunclassified

Bone Cyst of Proximal Humerus after Local Betamethasone Injection (Case Report)

Коган¹,

Kurbanov²,

Lasunsky³

et al. 2020

Traumatology and Orthopedics of Russia

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A potent anti-inflammatory effect and wide application of corticosteroids were the origin of their extensive use for treatment of diseases and injuries of the shoulder joint. The authors describe a clinical case of tumor-like cyst in the proximal humerus after intra-articular injection of glucocorticosteroid (GCS) in a 43 year old woman. Current medical literature reports various complications following GCS injections but the authors found no other cases of tumor-like cyst in proximal humerus associated with intra-articular GCS injection. This can be an underestimated phenomenon or a unique case. In any case, all physicians performing treatment and diagnostics medication blockades of the large joints should be aware of this occurrence. The authors assume that such complication can be prevented by clear understanding of shoulder joint anatomy and current visualization techniques such as ultrasound navigation.

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Section: Discussionunclassified

Bone Cyst of Proximal Humerus after Local Betamethasone Injection (Case Report)

Коган¹,

Kurbanov²,

Lasunsky³

et al. 2020

Traumatology and Orthopedics of Russia

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“…8 MRI will also show bony erosions (if present), bone marrow and/or soft-tissue edema, synovial pannus, and gouty tophi in chronic cases. 9 Figure 1, A and B shows corresponding radiographic and MRI of periarticular erosions and gouty tophi in the thumb. Tophi may appear hypointense or isointense on T1, variable signal on T2, and enhance homogeneously with contrast.…”

Section: Diagnosismentioning

confidence: 99%

“…28 Gouty tophi have been described in the patellar tendon and inside the patella itself, with the recommended treatment being uric acid-lowering therapies to prevent pathologic tendon rupture or pathologic patellar fracture. 9 Outcomes After Total Hip Arthroplasty/TKA…”

Section: Kneementioning

confidence: 99%

Orthopaedic Management of Gout

Cohen-Rosenblum¹,

Somogyi²,

Hynes³

et al. 2022

JAAOS Glob Res Rev

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Gout is characterized by the deposition of monosodium urate crystals in patients with chronically elevated blood levels of uric acid. It is the most common form of inflammatory arthritis in the United States and is often comorbid with hypertension, obesity, and chronic kidney disease. Initial presentation is usually an acutely warm, swollen joint, most commonly the first metatarsophalangeal joint, but a variety of locations may be affected. The main treatment for gout is medical management of acute inflammation and chronic uric acid levels, but surgical treatment may be indicated in cases of damage to the surrounding soft tissue, concomitant septic arthritis, symptomatic cartilage loss, or neurologic deficits. Based on the literature to date, gout does not seem to independently affect outcomes after total hip, knee, and ankle arthroplasty, but associated comorbidities affecting outcomes in these patients should be considered.

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“…The first metatarsophalangeal joint is the most commonly involved joint, although gout is often polyarticular. Involvement of the knee is not uncommon, but involvement of the patella is rare [34,35]. Isolated involvement of patella in gout is extremely unusual.…”

Section: Gout Of Patellamentioning

confidence: 99%

Tumors and tumor like lesions of the patella - Pictorial essay

S¹

2018

J Med sci Res.

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Focal lesions of patella are not infrequent. The patella is an uncommon location for neoplasms. The majority of tumors of the patella are benign, with a significant incidence of chondroblastoma and giant cell tumor. Other lesions include aneurysmal bone cysts, osteoid osteoma and osteoblastoma. In our experience chondroblastoma is the most common benign tumor. Malignant tumors include osteosarcoma, lymphosarcoma and metastasis. Radiological features are similar to the lesions at other sites except periosteal reaction is uncommon. However, tumor like lesions often pose a difficult problem in ruling out a real neoplasm which is important in order to avoid a biopsy. These include developmental, traumatic, infective, metabolic and endocrinal entities. Miscellaneous lesions include Paget disease and degenerative joint disease. Radiologically, it is important to identify the tumor like lesions and to differentiate them from primary neoplasms. Advanced imaging is rarely necessary, but histological confirmation is mandatory.

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Tophaceous gout with rare involvement of the patella

Cited by 9 publications

References 6 publications

Bone Cyst of Proximal Humerus after Local Betamethasone Injection (Case Report)

Bone Cyst of Proximal Humerus after Local Betamethasone Injection (Case Report)

Orthopaedic Management of Gout

Tumors and tumor like lesions of the patella - Pictorial essay

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