Learning objectives
To familiarise the reader with unusual presentations of gout and the multimodlity imaging approach to diagnosis.
Background
The presence of monosodium urate crystals in joints and peri-articular soft tissues is the hallmark of gout,
the most common of the crystal arthropathies.
Clinical presentation is typically that of a mono-articular arthritis often leading to a relatively straight forward diagnosis.
However occasionally unusual anatomical locations and atypical presentations can mimic other pathologies and lead to a diagnostic dilemma.
The radiological assessment of these unusual presentations frequently involves multi-modality imaging including radiographs,
ultrasound,
MRI and increasingly dual energy CT.
The presence ofmonosodium uratecrystal depositionwithin the...
Imaging findings OR Procedure Details
Using a multi-modality approach,
the presentation of gout in the axial skeleton,
atypical joints and extra-articular locations will be reviewed using cases from a tertiary MSK/Orthopaedic referral centre.
In particular we aim to demonstrate cases of gout occurring in atypical locations such as the facet joints of the spine,
patellar and quadriceps tendon,
posterior tibial tendon,
peroneal tendon and a typical case involving the MTPJ of the hallux to display common features of gout observed on imaging.
Case 1:
A 60 year oldmale patientpresented withacute...
Conclusion
Crystal arthropathies such as gout can present in atypical locations and are an important differential to consider so as they are not overlooked or mistaken for more concerning pathologies.
References
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Personal Information
Gareth Kiernan
Clinical Fellow at the Musculoskeletal Radiology Department of theNuffield Orthopaedic Centre,
Oxford
For questions and/or comments about this poster,
please contact me at:
[email protected]