Gouty Tophi in Sinus Tarsi of Bilateral Feet Mimicking Synovial Sarcoma:A Case Report.
Allografts
Arthritis, Gouty
/ diagnosis
Bone Transplantation
/ methods
Curettage
/ methods
Debridement
/ methods
Diagnosis, Differential
Humans
Magnetic Resonance Imaging
/ methods
Male
Risk Assessment
Sarcoma, Synovial
/ diagnostic imaging
Synovitis, Pigmented Villonodular
/ diagnostic imaging
Tarsal Bones
/ diagnostic imaging
Treatment Outcome
Young Adult
gout
pigmented villonodular synovitis
sinus tarsi
synovial sarcoma
tophi
Journal
The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
ISSN: 1542-2224
Titre abrégé: J Foot Ankle Surg
Pays: United States
ID NLM: 9308427
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
21
12
2017
pubmed:
8
1
2019
medline:
31
7
2019
entrez:
8
1
2019
Statut:
ppublish
Résumé
Chronic gout is defined as accumulation of monosodium urate crystals in joints, cartilage, tendons, bursae, bone, and soft tissue. The foot is the most common location for acute gout flares, with the first metatarsophalangeal joint being the most frequent site of tophus formation. However, few studies have reported gouty tophus formation in the subtalar joint. Gout has been termed the "great mimicker" because of its tendency to mimic other pathologic conditions, such as pigmented villonodular synovitis and synovial sarcoma. Herein, we present a rare case of chronic tophaceous gout in the sinus tarsi in both feet in a 23-year-old healthy male, with extensive bony erosions mimicking pigmented villonodular synovitis and synovial sarcoma. We discuss the clinical presentation, distinguishing radiologic characteristics, surgical procedures, and outcome regarding this unique presentation.
Identifiants
pubmed: 30612864
pii: S1067-2516(18)30371-5
doi: 10.1053/j.jfas.2018.08.031
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
347-351Informations de copyright
Copyright © 2018 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.