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Traumatic Separation of Bipartite Patella Underlying Gout

  • Choi, Eun Seok (Department of Orthopedic Surgery, Chungnam National University Hospital) ;
  • Sim, Jae Ang (Department of Orthopedic Surgery, Gachon University Gil Medical Center) ;
  • Go, Jae Yun (Department of Orthopedic Surgery, Gachon University Gil Medical Center) ;
  • Na, Young Gon (Department of Orthopedic Surgery, Gachon University Gil Medical Center)
  • Received : 2018.07.23
  • Accepted : 2018.10.14
  • Published : 2018.12.31

Abstract

Gouty arthritis is a common crystal arthropathy, but gout tophus in the bipartite patella is a rare condition. This report presented a traumatic separation of bipartite patellar fragment caused by mild trauma in a patient with comorbid gout. When a patient with bipartite patella and underlying gouty arthritis complains of pain after trauma, clinical suspicion is needed about fragment separation of the bipartite patella.

Keywords

References

  1. Enomoto H, Nagosi N, Okada E, Ota N, Iwabu S, Kamiishi S. Hemilaterally symptomatic bipartite patella associated with bone erosions arising from a gouty tophus: a case report. Knee 2006;13:474-7. https://doi.org/10.1016/j.knee.2006.09.001
  2. Hopper G, Gupta S, Bethapudi S, Ritchie D, Macduff E, Mahendra A. Tophaceous gout of the patella: a report of two cases. Case Rep Rheumatol 2012;2012:253693.
  3. 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. https://doi.org/10.1177/230949900501300219
  4. Reber P, Crevoisier X, Noesberger B. Unusual localisation of tophaceous gout. A report of four cases and review of the literature. Arch Orthop Trauma Surg 1996;115:297-9. https://doi.org/10.1007/BF00439058
  5. Tashiro S, Sugita T, Nakamura S, Kurata Y. Gout tophus in the bipartite patella. Orthopedics 2002;25:1295-6.
  6. Atesok K, Doral MN, Lowe J, Finsterbush A. Symptomatic bipartite patella: treatment alternatives. J Am Acad Orthop Surg 2008;16:455-61. https://doi.org/10.5435/00124635-200808000-00004
  7. Paulos LE, O'Connor DL, Karistinos A. Partial lateral patellar facetectomy for treatment of arthritis due to lateral patellar compression syndrome. Arthroscopy 2008;24:547-53. https://doi.org/10.1016/j.arthro.2007.12.004
  8. Saper MG, Shneider DA. Diagnosis and treatment of lateral patellar compression syndrome. Arthrosc Tech 2014;3:e633-8. https://doi.org/10.1016/j.eats.2014.07.004
  9. Weckstrom M, Parviainen M, Pihlajamaki HK. Excision of painful bipartite patella: good long-term outcome in young adults. Clin Orthop Relat Res 2008;466:2848-55. https://doi.org/10.1007/s11999-008-0367-4
  10. McMahon SE, LeRoux JA, Smith TO, Hing CB. The management of the painful bipartite patella: a systematic review. Knee Surg Sports Traumatol Arthrosc 2016;24:2798-805. https://doi.org/10.1007/s00167-014-3498-z

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  1. Beyond Medical Treatment: Surgical Treatment of Gout vol.23, pp.1, 2021, https://doi.org/10.1007/s11926-020-00969-6