Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Intrameniscal Gouty Tophus Originating from Medial and Lateral Meniscus

내측 및 외측 반월연골판에서 기시한 반월연골판 내 통풍 결절

  • Park, Il-young (Department of Orthopedic Surgery, Tantan Hospital) ;
  • Kim, Young-mo (Department of Orthopedic Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Joo, Yong-bum (Department of Orthopedic Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine) ;
  • Lee, Sang-bum (Department of Orthopedic Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine)
  • 박일영 (탄탄병원 정형외과) ;
  • 김영모 (충남대학교 의과대학 충남대학교병원 정형외과학교실) ;
  • 주용범 (충남대학교 의과대학 충남대학교병원 정형외과학교실) ;
  • 이상범 (충남대학교 의과대학 충남대학교병원 정형외과학교실)
  • Received : 2020.09.05
  • Accepted : 2020.11.06
  • Published : 2021.10.30
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Abstract

In advanced gout, monosodium urate crystals are deposited in the joints and surrounding tissues, resulting in gouty tophi. A 45-year-old man was admitted to hospital due to pain and a limited range of motion in his right knee. Magnetic resonance imaging revealed a mass, and arthroscopic surgery and biopsy were then performed. Gouty tophi invading the anterior horns of the medial and lateral menisci were identified and surgically removed. To the best of the author's knowledge, there is no case report of intrameniscal gouty tophi invading both the medial and lateral menisci. This paper presents this case along with a review of the relevant literature.

통풍이 진행된 경우, 단일 요산 나트륨결정이 관절과 주위 조직에 침착되어 통풍 결절이 발생한다. 저자들은 우측 무릎의 통증과 관절 운동각도 제한으로 내원한 45세 남자에서 자기공명영상 검사상 종물을 확인하였고 관절경 수술 및 조직검사를 시행하였다. 내측과 외측 반월연골판의 전각을 침범한 통풍 결절이 확인되었으며 이를 수술로 제거하였다. 내, 외측 반월연골판을 동시에 침범한 반월연골판 내 통풍 결절은 문헌상 보고된 적이 없어 이를 문헌 고찰과 함께 보고하고자 한다.

Keywords

References

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