학술논문
Gouty involvement of the patella and extensor mechanism of the knee mimicking aggressive neoplasm. A case series
Case Report
Case Report
Document Type
Academic Journal
Source
Skeletal Radiology. June 2018, Vol. 47 Issue 6, p865, 5 p.
Subject
Language
English
ISSN
0364-2348
Abstract
Author(s): Christopher Kester [sup.1], Matthew T. Wallace [sup.2], James Jelinek [sup.3], Albert Aboulafia [sup.4] Author Affiliations: (1) 0000 0001 0090 6847, grid.282356.8, Department of Orthopaedics, Philadelphia College of Osteopathic Medicine, [...]
Gout is a common inflammatory crystal deposition disease that occurs in many joints throughout the body. Active gout is most often associated with painful synovitis causing searing joint pains, but gout can also produce large masses of space-occupying deposits called tophi. Tophi are most frequently seen in juxta-articular locations with or without bony erosion and are often misdiagnosed as degenerative joint disease. Soft tissue deposits and tendon involvement are also known manifestations of gout, but can present with indeterminate and alarming findings on imaging. We present three cases of tophaceous gout mimicking aggressive neoplasms in the extensor mechanism of the knee. All cases presented as extensor tendon masses eroding into the patella, with imaging findings initially concerning for primary musculoskeletal malignancy.
Gout is a common inflammatory crystal deposition disease that occurs in many joints throughout the body. Active gout is most often associated with painful synovitis causing searing joint pains, but gout can also produce large masses of space-occupying deposits called tophi. Tophi are most frequently seen in juxta-articular locations with or without bony erosion and are often misdiagnosed as degenerative joint disease. Soft tissue deposits and tendon involvement are also known manifestations of gout, but can present with indeterminate and alarming findings on imaging. We present three cases of tophaceous gout mimicking aggressive neoplasms in the extensor mechanism of the knee. All cases presented as extensor tendon masses eroding into the patella, with imaging findings initially concerning for primary musculoskeletal malignancy.