Top

Clinical Orthopaedics and Related Research®

Published in:

01-01-2011 | Orthopaedic Case of the Month

Orthopaedic Case of the Month: Medial Knee Pain in a 69-year-old Man

Authors: Rej S. Bhumbra, MBBS, PhD, FRCS (Tr & Orth), Monica Khanna, FRCR, Brendan C. Dickson, MSc, MD, FRCPC, Peter C. Ferguson, MD, MSc, FRCSC

Published in: Clinical Orthopaedics and Related Research® | Issue 1/2011

Excerpt

A retired 69-year-old man was referred with a recent exacerbation of right medial knee pain. The pain had been gradually progressive for 3 years, with marked deterioration in the previous 6 months. There was no history of trauma or preceding infection. His pain was exertionally related; he was able to walk approximately 150 m before resting to relieve the pain. Deep knee flexion exacerbated his symptoms. He had occasional night pain after an active day but no other symptoms. …

Annemans L, Spaepen E, Gaskin M, Bonnemaire M, Malier V, Gilbert T, Nuki G. Gout in the UK and Germany: prevalence, comorbidities and management in general practice 2000–2005. Ann Rheum Dis. 2008;67:960–966.CrossRefPubMed

Axelrod D, Preston S. Comparison of parenteral adrenocorticotropic hormone with oral indomethacin in the treatment of acute gout. Arthritis Rheum. 1988;31:803–805.CrossRefPubMed

Beier CP, Hartmann A, Woertgen C, Brawanski A, Rothoerl RD. A large, erosive intraspinal and paravertebral gout tophus: case report. J Neurosurg Spine. 2005;3:485–487.CrossRefPubMed

Chen YJ, Hsu RW, Hsueh S. Intraosseous tophaceous pseudotumor in the trigonal process of the talus. Clin Orthop Relat Res. 1998;346:190–195.CrossRefPubMed

Choi HK, Mount DB, Reginato AM; American College of Physicians; American Physiological Society. Pathogenesis of gout. Ann Intern Med. 2005;143:499–516.PubMed

Cope R, Marsan R, Castelli MJ. Case report 732: gout presenting as a large pseudo tumor (tophus) in the proximal end of the tibia. Skeletal Radiol. 1992;21:269–270.CrossRefPubMed

Dehghan A, Kottgen A, Yang Q, Hwang SJ, Kao WL, Rivadeneira F, Boerwinkle E, Levy D, Hofman A, Astor BC, Benjamin EJ, van Duijn CM, Witteman JC, Coresh J, Fox CS. Association of three genetic loci with uric acid concentration and risk of gout: a genome-wide association study. Lancet. 2008;372:1953–1961.CrossRefPubMed

Frykberg RG, Noe B, Michael S, Tierney E. Intra-osseous gout in a diabetic patient. J Foot Ankle Surg. 2009;48:70–73.CrossRefPubMed

Jansen TL, Richette P, Perez-Ruiz F, Tausche AK, Guerne PA, Punzi L, Leeb B, Barskova V, Uhlig T, Pimentao J, Zimmermann-Gorska I, Pascual E, Bardin T, Doherty M. International position paper on febuxostat. Clin Rheumatol. 2010;29:835–840.CrossRefPubMed

10.

Janssens HJ, Janssen M, van de Lisdonk EH, van Riel PL, van Weel C. Use of oral prednisolone or naproxen for the treatment of gout arthritis: a double-blind, randomised equivalence trial. Lancet. 2008;371:1854–1860.CrossRefPubMed

11.

Kobayashi K, Deie M, Okuhara A, Adachi N, Yasumoto M, Ochi M. Tophaceous gout in the bipartite patella with intra-osseous and intra-articular lesions: a case report. J Orthop Surg (Hong Kong). 2005;13:199–202.

12.

Liote F, Ea HK. Recent developments in crystal-induced inflammation pathogenesis and management. Curr Rheumatol Rep. 2007;9:243–250.CrossRefPubMed

13.

Martinon F, Petrilli V, Mayor A, Tardivel A, Tschopp J. Gout-associated uric acid crystals activate the NALP3 inflammasome. Nature. 2006;440:237–241.CrossRefPubMed

14.

Miao Z, Li C, Chen Y, Zhao S, Wang Y, Wang Z, Chen X, Xu F, Wang F, Sun R, Hu J, Song W, Yan S, Wang CY. Dietary and lifestyle changes associated with high prevalence of hyperuricemia and gout in the Shandong coastal cities of Eastern China. J Rheumatol. 2008;35:1859–1864.PubMed

15.

Morino T, Fujita M, Kariyama K, Yamakawa H, Ogata T, Yamamoto H. Intraosseous gouty tophus of the talus, treated by total curettage and calcium phosphate cement filling: a case report. Foot Ankle Int. 2007;28:126–128.CrossRefPubMed

16.

Price MD, Padera RF, Harris MB, Vrahas MS. Case reports: pathologic fracture of the patella from a gouty tophus. Clin Orthop Relat Res. 2006;445:250–253.PubMed

17.

Raikin S, Cohn BT. Intraosseous gouty invasion of the talus. Foot Ankle Int. 1997;18:439–442.PubMed

18.

Schumacher HR Jr, Becker MA, Palo WA, Streit J, MacDonald PA, Joseph-Ridge N. Tophaceous gout: quantitative evaluation by direct physical measurement. J Rheumatol. 2005;32:2368–2372.PubMed

19.

Singh J, James SL, Kroon HM, Woertler K, Anderson SE, Jundt G, Davies AM. Tumour and tumour-like lesions of the patella: a multicentre experience. Eur Radiol. 2009;19:701–712.CrossRefPubMed

20.

Terkeltaub R, Bushinsky DA, Becker MA. Recent developments in our understanding of the renal basis of hyperuricemia and the development of novel antihyperuricemic therapeutics. Arthritis Res Ther. 2006;8(suppl 1):S4.CrossRefPubMed

21.

Terkeltaub R, Sundy JS, Schumacher HR, Murphy F, Bookbinder S, Biedermann S, Wu R, Mellis S, Radin A. The interleukin 1 inhibitor rilonacept in treatment of chronic gouty arthritis: results of a placebo-controlled, monosequence crossover, non-randomised, single-blind pilot study. Ann Rheum Dis. 2009;68:1613–1617.CrossRefPubMed

22.

Thomas E, Olive P, Canovas F, Medioni D, Leroux JL, Baldet P, Bonnel F, Blotman F. Tophaceous gout of the navicular bone as a cause of medial inflammatory tumor of the foot. Foot Ankle Int. 1998;19:48–51.PubMed

23.

Yang Q, Guo CY, Cupples LA, Levy D, Wilson PW, Fox CS. Genome-wide search for genes affecting serum uric acid levels: the Framingham Heart Study. Metabolism. 2005;54:1435–1441.CrossRefPubMed

24.

Zhang W, Doherty M, Bardin T, Pascual E, Barskova V, Conaghan P, Gerster J, Jacobs J, Leeb B, Liote F, McCarthy G, Netter P, Nuki G, Perez-Ruiz F, Pignone A, Pimentao J, Punzi L, Roddy E, Uhlig T, Zimmermann-Gorska I; EULAR Standing Committee for International Clinical Studies Including Therapeutics. EULAR evidence based recommendations for gout. Part II: Management. Report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis. 2006;65:1312–1324.CrossRefPubMed

Title: Orthopaedic Case of the Month: Medial Knee Pain in a 69-year-old Man
Authors: Rej S. Bhumbra, MBBS, PhD, FRCS (Tr & Orth)
Monica Khanna, FRCR
Brendan C. Dickson, MSc, MD, FRCPC
Peter C. Ferguson, MD, MSc, FRCSC
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 1/2011
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-010-1625-9

At a glance: The STEP trials

Springer Medicine

Orthopaedic Case of the Month: Medial Knee Pain in a 69-year-old Man

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 1/2011

Wear and Lysis is the Problem in Modular TKA in the Young OA Patient at 10 Years

The John Insall Award: Control-matched Evaluation of Painful Patellar Crepitus After Total Knee Arthroplasty

Extraarticular Knee Resection for Sarcomas with Preservation of the Extensor Mechanism: Surgical Technique and Review of Cases

What Works Best, a Cemented or Cementless Primary Total Hip Arthroplasty?: Minimum 17-year Followup of a Randomized Controlled Trial

Case Report: Bifid Iliopsoas Tendon Causing Refractory Internal Snapping Hip

Does Acetabular Retroversion Affect Range of Motion after Total Hip Arthroplasty?