To familiarise the reader with unusual presentations of gout and the multimodlity imaging approach to diagnosis.
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,
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.
A 60 year oldmale patientpresented withacute...
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.
Dual-energy CT in gout - A review of current concepts and applications.J Med Radiat Sci.
Intratendinous tophaceous gout imitating patellar tendonitis in an athletic man.Orthopedics.
Published 2011 Mar 11.
Tophaceous Gout of the Extensor Mechanism of the Knee.J Belg Soc Radiol.
Published 2015 Sep 15.
Imaging appearances in gout.Arthritis....
Clinical Fellow at the Musculoskeletal Radiology Department of theNuffield Orthopaedic Centre,
For questions and/or comments about this poster,
please contact me at:G.Kiernan@rbht.nhs.uk