Journal of Clinical Orthopaedics | Vol 6 | Issue 2 | Jul-Dec 2021 | page: 42-44 | Febyan, I Gusti Ngurah Paramartha Wijaya Putra, Made Deker, Agus Eka Wiradiputra
Author: Febyan , I Gusti Ngurah Paramartha Wijaya Putra , Made Deker , Agus Eka Wiradiputra 
 Department of Orthopaedics & Traumatology, Bhayangkara Denpasar Hospital, Bali, Indonesia
Address of Correspondence
Department of Orthopaedics & Traumatology, Bhayangkara Denpasar Hospital, Bali, Indonesia
Gout is an inflammatory disease commonly characterized by tophus deposits containing uric acid crystals in the intraarticular joints. An acute locked joint due to gouty tophus formation is a rare finding. This case describes a 36-year-old man with sudden pain and locking in the knee joint. Physical examination, plain radiography, and serum uric acid examination showed unremarkable results. Further investigation with diagnostic arthroscopy confirmed tophaceous gout as the sole cause of an acutely locked knee. The patient exhibited satisfactory clinical results following surgical intervention under arthroscopy and the administration of urate-lowering agents. This case highlights the probability of tophus deposition as the cause of an acute locked knee, despite unremarkable initial presentation. The awareness regarding this case should be raised, especially on emphasizing arthroscopy as a cost-effective diagnostic and therapeutic modality in patient management.
Keywords: Arthroscopy, gouty tophi, knee joint, rare case
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|How to Cite this article: Febyan, Putra IGNPW, Deker M, Wiradiputra AE. Unusual Finding of Gouty Tophus in Adult Male with Acute Locked Knee: A Rare Case Report. Journal of Clinical Orthopaedics Jul-Dec 2021;6(2):42-44.|