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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Main Authors: Kuo-Chien Chang, Sin-Jhang Wang, Yuan-Ta Li, Chih-Chien Wang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Journal of Medical Sciences
Subjects:
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.
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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
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AT yuantali bipartitepatellaassociatedwithtophaceousinvasionararecasereport
AT chihchienwang bipartitepatellaassociatedwithtophaceousinvasionararecasereport