Pathological Fracture of the Femoral Neck due to Tophaceous Gout: An Unusual Case of Gout / 대한고관절학회지
Hip & Pelvis
; : 238-241, 2019.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-763979
Responsible library:
WPRO
ABSTRACT
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Walking
/
Arthralgia
/
Hyperuricemia
/
Elbow
/
Emergency Service, Hospital
/
Femoral Neck Fractures
/
Femur Neck
/
Foot
/
Fractures, Spontaneous
/
Gout
Limits:
Humans
Language:
English
Journal:
Hip & Pelvis
Year:
2019
Document type:
Article