Bipartite patella associated with tophaceous invasion: A rare case report
We report the case of 32-year-old male who had a painful knee due to tophus formation in the interosseous area of the bipartite patella. There was neither a history of previous trauma to his patella nor a family history of gouty arthritis. Intraoperatively, we found chalky white-yellow material depo...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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Series: | Journal of Medical Sciences |
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Online Access: | http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2017;volume=37;issue=5;spage=204;epage=206;aulast=Chang |
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author | Kuo-Chien Chang Sin-Jhang Wang Yuan-Ta Li Chih-Chien Wang |
author_facet | Kuo-Chien Chang Sin-Jhang Wang Yuan-Ta Li Chih-Chien Wang |
author_sort | Kuo-Chien Chang |
collection | DOAJ |
description | We report the case of 32-year-old male who had a painful knee due to tophus formation in the interosseous area of the bipartite patella. There was neither a history of previous trauma to his patella nor a family history of gouty arthritis. Intraoperatively, we found chalky white-yellow material deposited at the bipartite space and it was curetted. The second part of the patella was fixed by a screw for functional preservation. In addition, hyperuricemia was also noted and controlled by uricosuric agents postoperatively. Gout should be included in the differential diagnosis of painful bipartite patella, and we suggest surgical intervention in combination with antihyperuricemic therapy for tophaceous deposits of the bipartite patella. |
first_indexed | 2024-12-22T14:08:56Z |
format | Article |
id | doaj.art-47f27d234e714d149817785d0d7d2c76 |
institution | Directory Open Access Journal |
issn | 1011-4564 |
language | English |
last_indexed | 2024-12-22T14:08:56Z |
publishDate | 2017-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Medical Sciences |
spelling | doaj.art-47f27d234e714d149817785d0d7d2c762022-12-21T18:23:15ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642017-01-0137520420610.4103/jmedsci.jmedsci_39_17Bipartite patella associated with tophaceous invasion: A rare case reportKuo-Chien ChangSin-Jhang WangYuan-Ta LiChih-Chien WangWe report the case of 32-year-old male who had a painful knee due to tophus formation in the interosseous area of the bipartite patella. There was neither a history of previous trauma to his patella nor a family history of gouty arthritis. Intraoperatively, we found chalky white-yellow material deposited at the bipartite space and it was curetted. The second part of the patella was fixed by a screw for functional preservation. In addition, hyperuricemia was also noted and controlled by uricosuric agents postoperatively. Gout should be included in the differential diagnosis of painful bipartite patella, and we suggest surgical intervention in combination with antihyperuricemic therapy for tophaceous deposits of the bipartite patella.http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2017;volume=37;issue=5;spage=204;epage=206;aulast=ChangBipartite patellaGouttophaceous invasion |
spellingShingle | Kuo-Chien Chang Sin-Jhang Wang Yuan-Ta Li Chih-Chien Wang Bipartite patella associated with tophaceous invasion: A rare case report Journal of Medical Sciences Bipartite patella Gout tophaceous invasion |
title | Bipartite patella associated with tophaceous invasion: A rare case report |
title_full | Bipartite patella associated with tophaceous invasion: A rare case report |
title_fullStr | Bipartite patella associated with tophaceous invasion: A rare case report |
title_full_unstemmed | Bipartite patella associated with tophaceous invasion: A rare case report |
title_short | Bipartite patella associated with tophaceous invasion: A rare case report |
title_sort | bipartite patella associated with tophaceous invasion a rare case report |
topic | Bipartite patella Gout tophaceous invasion |
url | http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2017;volume=37;issue=5;spage=204;epage=206;aulast=Chang |
work_keys_str_mv | AT kuochienchang bipartitepatellaassociatedwithtophaceousinvasionararecasereport AT sinjhangwang bipartitepatellaassociatedwithtophaceousinvasionararecasereport AT yuantali bipartitepatellaassociatedwithtophaceousinvasionararecasereport AT chihchienwang bipartitepatellaassociatedwithtophaceousinvasionararecasereport |