Skip to main content

Roentgenographic Findings and Musculoskeletal Ultrasound

  • Chapter
  • First Online:
Gout
  • 2006 Accesses

Abstract

Imaging studies that are useful in establishing the diagnosis include plain radiographs, musculoskeletal ultrasound, and computerized tomography. These studies may reveal urate deposits and associated structural damage, and they can be used to follow the elimination of gouty tophi during treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Roberts WN, Hayes CW, Breitbach SA, Owen Jr DS. Dry taps and what to do about them: a pictorial essay on failed arthrocentesis of the knee. Am J Med. 1996;100:461.

    Article  PubMed  CAS  Google Scholar 

  2. Bloch C, Hermann G, Yu T-F. A radiologic re-evaluation of gout: a study of 2,000 patients. AJR Am J Roentgenol. 1980;134:781–7.

    PubMed  CAS  Google Scholar 

  3. Resnick D. The radiographic manifestations of gouty arthritis. CRC Crit Rev Diag Imaging. 1977;9:265–335.

    CAS  Google Scholar 

  4. Martel W. The overhanging margin of bone: a roentgenologic manifestation of gout. Radiology. 1981;91:755–6.

    Google Scholar 

  5. Ogilvie C, Kay NR. Fulminating carpal tunnel syndrome due to gout. J Hand Surg. 1988;13:42–4.

    CAS  Google Scholar 

  6. Pai CH, Tseng CH. Acute carpal tunnel syndrome caused by tophaceous gout. J Hand Surg. 1993;18:667–9.

    Article  CAS  Google Scholar 

  7. Caro JJ, Trindale E, McGregor M. The risks of death and of severe nonfatal reactions with high- vs low-osmolality contrast media: a meta-analysis. AJR Am J Roentgenol. 1991;156:825.

    PubMed  CAS  Google Scholar 

  8. Mielants H, Veys EM, DeBussere A, et al. Avascular necrosis and its relationship with lipid and purine metabolism. J Rheumatol. 1975;2:430.

    PubMed  CAS  Google Scholar 

  9. Arlet J, Ficat P. Diagnostic de l’osteonecrose femorocapitale primitive au stade I (Stade preradiologic). Rev Chir Orthop. 1968;54:637.

    PubMed  CAS  Google Scholar 

  10. Mankin HJ. Nontraumatic necrosis of bone (osteonecrosis). N Engl J Med. 1992;326:1473.

    Article  PubMed  CAS  Google Scholar 

  11. Lee MJ, Corrigan J, Stack JP, et al. A comparison of modern imaging modalities in osteonecrosis of the femoral head. Clin Radiol. 1990;42:427.

    Article  PubMed  CAS  Google Scholar 

  12. Jergesen HE, Lang P, Moseley M, et al. Magnetic resonance imaging in osteonecrosis of the femoral head. Orthop Clin North Am. 1985;16:705.

    PubMed  CAS  Google Scholar 

  13. Jergesen HE, Lang P, Moseley M, et al. Histologic correlation in magnetic resonance imaging of femoral head osteonecrosis. Clin Orthop Relat Res. 1978;253:150.

    Google Scholar 

  14. Dodds WJ, Steinbach HL. Gout associated with calcification of cartilage. N Engl J Med. 1966;275:745.

    Article  PubMed  CAS  Google Scholar 

  15. Reginato MA, Valenzuela RF, Matinez CV, et al. Polyarticular and familial chondrocalcinosis. Arthritis Rheum. 1970;13:197.

    Article  PubMed  CAS  Google Scholar 

  16. Skinner M, Cohen AS. Calcium pyrophosphate dihydrate crystal deposition disease. Arch Intern Med. 1969;123:636.

    Article  PubMed  CAS  Google Scholar 

  17. Smith JR, Phelps P. Septic arthritis, gout, pseudogout and osteoarthritis in the knee of a patient with multiple myeloma. Arthritis Rheum. 1972;15:89.

    Article  PubMed  CAS  Google Scholar 

  18. Fernandez E, Kubota ES, Sandim GB, et al. Ultrasound features of tophi in chronic tophaceous gout. Skeletal Radiol. 2011;40:309–15.

    Article  Google Scholar 

  19. Thiele RG. Role of ultrasound and other advanced imaging in the diagnosis and management of gout. Curr Rheumatol Rep. 2011;13:146–53.

    Article  PubMed  Google Scholar 

  20. Thiele RG, Schlesinger N. Diagnosis of gout by ultrasound. Rheumatology. 2007;46:1116–21.

    Article  PubMed  CAS  Google Scholar 

  21. Nicolaou S, Yong-Hing CJ, Galea-Soler S, et al. Dual-energy CT as a potential new diagnostic tool in the management of gout in the acute setting. Am J Roentgenol. 2010;194:1072.

    Article  Google Scholar 

  22. Artmann A, Ratzenback M, Noszian I, Trieb K. Dual energy CT – a new perspective in the diagnosis of gout. Rofo. 2010;182:261.

    Article  PubMed  CAS  Google Scholar 

  23. Choi HK, AI-Arfaj AM, Eftekhari A, et al. Dual energy computed tomography in tophaceous gout. Ann Rheum Dis. 2009;68:1609.

    Article  PubMed  CAS  Google Scholar 

  24. Johnson TRC, Weckbach S, Kellner H, et al. Clinical image: dual-energy computed tomographic molecular imaging of gout. Arthritis Rheum. 2007;56:2809.

    Article  PubMed  Google Scholar 

  25. Choi HK, AI-Arfaj A, Eftekhori A, et al. Dual energy computed tomography in tophaceous gout. Ann Rheum Dis. 2009;68:1609.

    Article  PubMed  CAS  Google Scholar 

  26. Dalbeth N, McQueen FM. Use of imaging to evaluate gout and other crystal deposition disorders. Curr Opin Rheumatol. 2009;21:124.

    Article  PubMed  Google Scholar 

  27. Bacani AK, McCollough CH, Glazebrook KN, et al. Dual energy computed tomography for quantification of tissue urate deposits in tophaceous gout: help from modern physics in the management of an ancient disease. Rheumatol Int. 2012;32(1):235–9. Epub 2009 Dec 17.

    Article  PubMed  Google Scholar 

  28. Graser A, Johnson TR, Bader M, et al. Dual energy CT characterization of urinary calculi: initial in vitro and clinical experience. Invest Radiol. 2008;43:112.

    Article  PubMed  Google Scholar 

  29. Vandervaeren D, Kirsch J. Dual energy x-ray absorptiometry: progress in the radiological identification of uric acid stones. Prog Urol. 2008;18:562.

    Article  PubMed  CAS  Google Scholar 

  30. Boll DT, Patil NA, Paulson EK, et al. Renal stone assessment with dual-energy multidetector CT and advanced postprocessing techniques: improved characterization of renal stone composition – a pilot study. Radiology. 2009;250:813.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag London

About this chapter

Cite this chapter

Newcombe, D.S. (2013). Roentgenographic Findings and Musculoskeletal Ultrasound. In: Robinson, D. (eds) Gout. Springer, London. https://doi.org/10.1007/978-1-4471-4264-5_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4264-5_7

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4263-8

  • Online ISBN: 978-1-4471-4264-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics