Tophaceous Gout of the Rotator Cuff

Chih-Hao Chang; Chia-Hung Lu; Chih-Wei Yu; Mu-Zon Wu; Chao-Yu Hsu; Tiffany Ting-Fang Shih
January 2008
Journal of Bone & Joint Surgery, American Volume;Jan2008, Vol. 90-A Issue 1, p178
Academic Journal
Case Study
This article presents a case study of a twenty-six-year-old man who experienced shoulder pain after a stretching injury at work. An anti-inflammatory agent provided temporary relief, but pain returned. A radiograph of the shoulder identified a faint amorphous opacity and magnetic resonance imaging showed a more detailed image that indicated possible calcific tendinosis. After an acromioplasty of the shoulder, a diagnosis of tophaceous gout of the rotator cuff was confirmed. The image findings from the magnetic resonance imaging should remind orthopedic surgeons and radiologists to consider tophaceous gout in their differential diagnosis.


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