Pathological Fracture of the Femoral Neck due to Tophaceous Gout: An Unusual Case of Gout
- Author:
Yoo Sun JEON
1
;
Deuk Soo HWANG
;
Jung Mo HWANG
;
Jeong Kil LEE
;
Young Cheol PARK
Author Information
- Publication Type:Case Report
- Keywords: Gout arthritis; Femoral neck fracture; Intraosseous tophi; Subcutaneous tophi
- MeSH: Arthralgia; Elbow; Emergency Service, Hospital; Femoral Neck Fractures; Femur Neck; Foot; Fractures, Spontaneous; Gout; Hand; Hip; Humans; Hyperuricemia; Knee; Middle Aged; Walking
- From:Hip & Pelvis 2019;31(4):238-241
- CountryRepublic of Korea
- Language:English
- Abstract: A 48-year-old man visited the emergency room with right hip pain that started abruptly while walking out of the bathroom. Computed tomography showed an intraosseous mass in the femoral neck. The patient had a 15-year history of gout and had numerous bilateral tophi in his hands, feet, knees, and elbows. After operation, we diagnosed a pathological fracture due to intraosseous tophi. Patients with hip pain who have many subcutaneous tophi and long-standing gout should be diagnosed carefully. Peri-hip joint pain caused by gout is uncommon, however, if a patient complains of pain, a simple X-ray may be required. If intraosseous tophi are present, appropriate treatment (e.g., strict hyperuricemia control with or without prophylactic internal fixation), may be required before fracture occurs.
