Arthroscopic Treatment of Isolated Tophaceous Gout of the Knee: A Rare Case Report
Introduction: Isolated tophaceous gout of the knee is an uncommon presentation, requiring a high degree of clinical suspicion for accurate diagnosis. With prompt and appropriate management, favorable patient outcomes can often be achieved. Case Report: We present the case of a 32-year-old male clerk...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Indian Orthopaedic Research Group
2025-03-01
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| Series: | Journal of Orthopaedic Case Reports |
| Subjects: | |
| Online Access: | https://jocr.co.in/wp/2025/03/01/arthroscopic-treatment-of-isolated-tophaceous-gout-of-the-knee-a-rare-case-report/ |
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| Summary: | Introduction:
Isolated tophaceous gout of the knee is an uncommon presentation, requiring a high degree of clinical suspicion for accurate diagnosis. With prompt and appropriate management, favorable patient outcomes can often be achieved.
Case Report:
We present the case of a 32-year-old male clerk with a 2-year history of chronic knee pain and stiffness. Magnetic resonance imaging revealed joint effusion and synovial hypertrophy. Arthroscopic evaluation identified chalky intra-articular deposits confirming isolated tophaceous gout of knee, and histopathological analysis confirmed gross inflammatory synovial hypertrophy. Surgical debridement and synovectomy, followed by medical management, gave good clinical outcomes.
Conclusion:
The treating surgeon should recognize this presentation and choose appropriate arthroscopic and medical management, which can lead to favorable outcomes. |
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| ISSN: | 2250-0685 2321-3817 |