Abstract
We report four cases with very unusual manifestations of tophaceous gout. All patients were male, aged between 29 and 67 years. Only one patient had an acute gouty arthritis in his medical history, whereas the other three had never developed clinical symptoms from their hyperuricemia. Two patients had gout tophi in the patella, while the others showed gout tophi in the space of bipartite bones, one in a bipartite patella and one in a tripartite sesamoid bone of the first toe. To our knowledge, gout tophi in the space of bi- or tripartite bones has never been described before.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Benedek TG (1965) Lysis of the patella due to metastatic carcinoma. Arthritis Rheum 8:560–567
Burnham J, Fraker K, Steinbach H (1977) Pathologic fracture in an unusual case of gout. Am J Roentgenol 129:1116–1119
Greenberg DC (1986) Pathological fracture of the patella secondary to gout: a case report. J Bone Joint Surg [Am] 68:1286–1288
Healy JG, Dines D, Hershon S (1984) Painful synovitis secondary to gout in the area of prosthetic hip joint: a case report. J Bone Joint Surg [Am] 66:610–611
Kewenter Y (1936) Anatomical variations of the sesamoid bone of the toes. Acta Orthop Scand Suppl 2
Kransdorf MJ, Moser RP (1989) Primary tumors of the patella: a review of 42 cases. Skeletal Radiol 18:365–371
Leaney BJ, Calvert JM (1983) Tophaceous gout producing spinal cord compression: a case report. J Neurosurg 58:580–582
Levy M, Seelenfreund M, Maor P, Fried A (1971) Bilateral spontaneous and simultaneous rupture of the quadriceps tendon in gout. J Bone Joint Surg [Br] 53:510–513
Linscheid RL, Dahlin DC (1966) Unusual lesions of the patella. J Bone Joint Surg [Am] 48:1359–1366
Mahoney P, James PD, Howell CJ, Swannell AJ (1981) Spontaneous rupture of the Achilles tendon in a patient with gout: a case report. Ann Rheum Dis 40:416–418
Mercuri M, Casadei R, Ferraro A (1991) Tumors of the patella. Int Orthop 15:115–120
Miskew D (1980) Atraumatic avascular necrosis of the talus associated with hyperuricemia. Clin Orthop 148:156–159
Ortman BL, Pack LL (1987) Aseptic loosening of a total hip prosthesis secondary to tophaceous gout: a case report. J Bone Joint Surg [Am] 69:1096–1099
Peloquin LU, Graham JH (1955) Gout of the patella: report of a case. N Engl J Med 253:979–980
Pledger SR, Hirsh B, Freiberg RA (1976) Bilateral carpal tunnel syndrome secondary to gouty tenosynovitis: a case report. Clin Orthop 118:188–189
Primm DD, Allen JR (1983) Gouty involvement of a flexor tendon in the hand. J Hand Surg 8:836–865
Stoler B, Staple TW (1965) Metastases to the patella. Radiology 93:853–856
Torke M, Henderson C (1990) Tophaceous gout simulating infection about a stainless steel plate. J Orthop Trauma 4:463–465
Wald SL, McLennan JE, Carroll RM, Segal H (1979) Extradural spinal involvement by gout: a case report. J Neurosurg 50:236–239
Wyngaarden JB, Kelly WN (1986) Gout and hyperuricemia. Grune and Stratton, New York
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Reber, P., Crevoisier, X. & Noesberger, B. Unusual localisation of tophaceous gout. Arch Orthop Trauma Surg 115, 297–299 (1996). https://doi.org/10.1007/BF00439058
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00439058