Pathological Fracture of the Femoral Neck due to Tophaceous Gout: An Unusual Case of Gout
| Autor: | Jung-Mo Hwang, Young-Cheol Park, Deuk-Soo Hwang, Yoo-Sun Jeon, Jeong-Kil Lee |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment Case Report Gout arthritis Subcutaneous tophi Tophaceous gout 03 medical and health sciences 0302 clinical medicine medicine Internal fixation Orthopedics and Sports Medicine Hyperuricemia Pathological Femoral neck 030203 arthritis & rheumatology 030222 orthopedics Unusual case Femoral neck fracture business.industry Intraosseous tophi medicine.disease Gout Surgery medicine.anatomical_structure Joint pain medicine.symptom business |
| Zdroj: | Hip & Pelvis |
| ISSN: | 2287-3279 2287-3260 |
| Popis: | A 48-year-old man visited the emergency room with right hip pain that started abruptly while walking out of the bathroom. Computed tomography showed an intraosseous mass in the femoral neck. The patient had a 15-year history of gout and had numerous bilateral tophi in his hands, feet, knees, and elbows. After operation, we diagnosed a pathological fracture due to intraosseous tophi. Patients with hip pain who have many subcutaneous tophi and long-standing gout should be diagnosed carefully. Peri-hip joint pain caused by gout is uncommon, however, if a patient complains of pain, a simple X-ray may be required. If intraosseous tophi are present, appropriate treatment (e.g., strict hyperuricemia control with or without prophylactic internal fixation), may be required before fracture occurs. |
| Databáze: | OpenAIRE |
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