Gout is one of the most common inflammatory arthritides that predominantly affects the first metatarsophalangeal joint. The underlying inflammatory process is elicited by the deposition of monosodium urate (MSU) cryst...Gout is one of the most common inflammatory arthritides that predominantly affects the first metatarsophalangeal joint. The underlying inflammatory process is elicited by the deposition of monosodium urate (MSU) crystals in the affected joint that are termed tophi and which may in the course of chronic gout progress into subcutaneous depositions of tophi. In this case report, we present a patient (PID: 6925981) who was seen in our outpatient department with a first episode of tophaceous gout in the finger, an infrequently seen condition that mostly affects older men with long-term gout. We discuss the case in view of the current literature on diagnosis and treatment of tophaceous gout.展开更多
Synostosis of carpal bones originates from lack of cavitation at the site of the future joint space with subsequent chondrification and ossification during the 4th to 8th weeks of intrauterine life. It is mostly seen ...Synostosis of carpal bones originates from lack of cavitation at the site of the future joint space with subsequent chondrification and ossification during the 4th to 8th weeks of intrauterine life. It is mostly seen as a chance finding discovered on radiographs. These coalitions are often asymptomatic, but can give complaints after trauma. We report six patients with different congenital carpal coalitions. These cases include synostoses of: scaphoid and trapezium, scaphoid and trapezium with a large scapholunate distance, lunate and triquetrum, capitate and trapezoid, capitate and hamate, triquetrum and pisiform. We also give a review of the literature and treatment proposal.展开更多
文摘Gout is one of the most common inflammatory arthritides that predominantly affects the first metatarsophalangeal joint. The underlying inflammatory process is elicited by the deposition of monosodium urate (MSU) crystals in the affected joint that are termed tophi and which may in the course of chronic gout progress into subcutaneous depositions of tophi. In this case report, we present a patient (PID: 6925981) who was seen in our outpatient department with a first episode of tophaceous gout in the finger, an infrequently seen condition that mostly affects older men with long-term gout. We discuss the case in view of the current literature on diagnosis and treatment of tophaceous gout.
文摘Synostosis of carpal bones originates from lack of cavitation at the site of the future joint space with subsequent chondrification and ossification during the 4th to 8th weeks of intrauterine life. It is mostly seen as a chance finding discovered on radiographs. These coalitions are often asymptomatic, but can give complaints after trauma. We report six patients with different congenital carpal coalitions. These cases include synostoses of: scaphoid and trapezium, scaphoid and trapezium with a large scapholunate distance, lunate and triquetrum, capitate and trapezoid, capitate and hamate, triquetrum and pisiform. We also give a review of the literature and treatment proposal.
