The Journal of Bone and Joint Surgery (American). 2008;90:178-182.
doi:10.2106/JBJS.G.00249
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Tophaceous Gout of the Rotator Cuff

A Case Report

Chih-Hao Chang, MD1, Chia-Hung Lu, MD1, Chih-Wei Yu, MD1, Mu-Zon Wu, MD1, Chao-Yu Hsu, MD1 and Tiffany Ting-Fang Shih, MD1

1 Departments of Orthopaedic Surgery (C.-H.C.), Medical Imaging and Radiology (C.-H.L., C.-W.Y., C.-Y.H., and T.T.-F.S.), and Pathology (M.-Z.W.), National Taiwan University Hospital and National Taiwan University College of Medicine, 7 Chung-Shan South Road, Taipei, Taiwan 100. E-mail address for C.-Y. Hsu: joyhcy@gmail.com

Investigation performed at the Departments of Orthopaedic Surgery, Medical Imaging and Radiology, and Pathology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

The first 150 words of the full text of this article appear below.


   Introduction
 
Gout is a common metabolic disorder characterized by recurrent episodes of arthritis associated with the presence of monosodium urate monohydrate crystals in synovial fluid leukocytes or periarticular soft tissues1. Tophaceous gout, representing the chronic phase of the disease process, usually occurs at least ten years before these lesions become visible radiographically or on physical examination2,3. Although gout frequently affects the feet, hands, wrists, elbows, and knees, involvement of the shoulder joint by gouty tophi is unusual4, and tophaceous gout of the rotator cuff is rare5.

The magnetic resonance imaging characteristics of tophaceous gout of the rotator cuff have not been previously described in the literature, to our knowledge. We report the case of a man with tophaceous gout of the rotator cuff who had plain radiography and magnetic resonance imaging as well as intraoperative and histopathologic correlation. The patient was informed that data concerning the case . . . [Full Text of this Article]


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