Arthroscopic synovectomy for synovial hyperplasia in chronic knee gouty arthritis: A case report.
| Autor: | Utoyo GA; Department of Orthopaedics and Traumatology, Dr. Hasan Sadikin General Hospital/Universitas Padjadjaran, Bandung 40161, Jawa Barat, Indonesia. ghuna@unpad.ac.id., Calvin C; Department of Orthopaedics and Traumatology, St. Borromeus Hospital, Bandung 40132, Jawa Barat, Indonesia. |
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| Jazyk: | angličtina |
| Zdroj: | World journal of orthopedics [World J Orthop] 2024 Nov 18; Vol. 15 (11), pp. 1101-1108. Date of Electronic Publication: 2024 Nov 18 (Print Publication: 2024). |
| DOI: | 10.5312/wjo.v15.i11.1101 |
| Abstrakt: | Background: Chronic synovitis due to chronic knee gouty arthritis (KGA) resulting in synovial hyperplasia has not been documented in the current literature, and thus the optimal management for this condition remains unclear. This case report discusses a 34-year-old man with a history of chronic KGA who presented with recurrent knee effusion resulting from synovial hyperplasia. Case Summary: A 34-year-old man presented to our outpatient clinic with a 5-year recurrent knee effusion and a history of chronic KGA. Symptoms persisted despite serial aspiration and urate-lowering medication (febuxostat 80 mg once daily) for 2 months. Diagnostic arthroscopy was performed due to the recalcitrant symptoms. Intraoperatively, tophi deposition and excessive thickening of the synovial membrane were observed. Synovial biopsy and partial synovectomy were performed, revealing chronic synovitis with synovial hyperplasia that was consistent with chronic KGA. At follow-up after 6 months, the patient reported no further episode of knee effusion. Conclusion: Arthroscopic synovectomy for synovial hyperplasia in chronic KGA sufficiently eradicates the symptoms of recurrent knee effusion. Competing Interests: Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose. (©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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