1. Intrameniscal Gouty Tophi in the Knee: A Case Report
- Author
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Keiji Tensho, Hiroyuki Kato, Seiji Takanashi, Tetsuhiro Aoki, Hisashi Shimojo, Naoto Saito, Hiroki Shimodaira, and Yusuke Akaoka
- Subjects
Lateral meniscus ,medicine.medical_specialty ,Knee arthroscopy ,medicine.diagnostic_test ,business.industry ,Arthritis ,Magnetic resonance imaging ,Recurrent acute ,Knee Joint ,medicine.disease ,Lesion ,medicine.anatomical_structure ,medicine ,Orthopedics and Sports Medicine ,Surgery ,Arthroscopic synovectomy ,Radiology ,medicine.symptom ,business - Abstract
Case: 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. Conclusion: Surgeons should be aware of the presence of such pathology and consider arthroscopic surgery if the mechanical symptoms persist.
- Published
- 2017