Open AccessCase Reports: Pathologic Fracture of the Patella from a Gouty Tophus
Author(s) -
Mark D. Price,
Robert F. Padera,
Mitchel B. Harris,
Mark Vrahas
Publication year - 2006
Publication title -
clinical orthopaedics and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.178
H-Index - 204
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1097/01.blo.0000218761.27558.2e
Subject(s) - medicine , gout , tophus , patella , patella fracture , surgery , fracture (geology) , orthopedic surgery , orthopedic trauma , hyperuricemia , uric acid , geotechnical engineering , engineering
Fracture of the patella is a relatively common condition seen in patients with trauma. We report one patient with known gout who sustained relatively minor trauma that resulted in a patellar fracture. An intraoperative biopsy confirmed that much of the patella had been replaced with gouty tophus. Gout is a rare cause of patellar fracture, with few documented cases. Postoperative management of patients with patella fractures secondary to gout may be routine with the addition of medical management for the underlying pathologic process.