Intrameniscal Gouty Tophi in the Knee: A Case Report

We report a case of recurrent acute arthritis and restricted range of motion in the knee joint, with magnetic resonance imaging subsequently detecting a nodular lesion within the lateral meniscus. Knee arthroscopy and histology revealed that the lesion was intrameniscal gouty tophi. After arthroscop...

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Bibliographic Details
Published in:	JBJS case connector Vol. 5; no. 3; p. e74
Main Authors:	Aoki, Tetsuhiro, Tensho, Keiji, Shimodaira, Hiroki, Akaoka, Yusuke, Takanashi, Seiji, Shimojo, Hisashi, Saito, Naoto, Kato, Hiroyuki
Format:	Journal Article
Language:	English
Published:	United States The Journal of Bone and Joint Surgery, Inc 26-08-2015
Online Access:	Get full text
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Summary:	We report a case of recurrent acute arthritis and restricted range of motion in the knee joint, with magnetic resonance imaging subsequently detecting a nodular lesion within the lateral meniscus. Knee arthroscopy and histology revealed that the lesion was intrameniscal gouty tophi. After arthroscopic synovectomy and excision of the tophi, the symptoms resolved and the patient remained symptom-free at two years of follow-up. Surgeons should be aware of the presence of such pathology and consider arthroscopic surgery if the mechanical symptoms persist.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2160-3251 2160-3251
DOI:	10.2106/JBJS.CC.N.00191