CC BY 4.0 · Surg J (N Y) 2019; 05(02): e46-e49
DOI: 10.1055/s-0039-1692675
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Diagnosis and Treatment of Patellar Tendon Gouty Tophus: A Case Report

1  Department of Sports Knee Surgery, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom
,
Maulik Gandhi
1  Department of Sports Knee Surgery, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom
,
Andrew Barnett
1  Department of Sports Knee Surgery, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, United Kingdom
› Author Affiliations
Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Further Information

Publication History

30 January 2019

20 May 2019

Publication Date:
18 June 2019 (online)

  

Abstract

The main aim of this case report is to thoroughly describe the steps of diagnosis and treatment in the rare incidence of patellar tendon gouty tophus. The case of a 53-year-old man manual worker who was treated with open excision of the lesion, following failure of extended medical treatment with rheumatological input, is presented. Surgical treatment led to full restoration of the patient's knee function. Open or arthroscopic surgery is a viable option for the unusual case of intratendinous patellar gouty deposition if the patient fails medical management. Medical treatment should still be the mainstay.