July 2019

This patient has an abnormal patellar tendon. What could be the cause?

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Clinical information

This patient has an abnormal patellar tendon. What could be the cause?

A) CPPD
B) Gout
C) R.A.
D) Tendinosis

Ultrasound Images & Clips

Patient with an abnormal patellar tendon

This patient has an abnormal patellar tendon. What could be the cause? A. CPPD B. Gout C. R.A. D. Tendinosis

Another longitudinal image of the abnormal patellar tendon

The calcifications cause acoustic shadowing

Transverse image of the patellar tendon

Another image of the same patient. The patient was known to have long standing gout

Gout can present itself in many joints. This is the olecranon bursa filled with echogenic material in a patient with gout

This is a transverse image of the olecranon fossa of a patient with gout

This is a longitudinal image of the same patient with synovial swelling and a bony erosion

This is an image of the superficial calcaneal bursa filled with echogenic material in a patient with gout

Detail image of cartilage calcifications in a patient with gout

This same patient also has synovial thickening with tiny calcifications

Transverse image of the same patient with synovial thickening with tiny calcifications

This is an image of the first metatarsophalangeal joint in a patient with gout with synovial thickening with tiny calcifications

The synovium is highly vascularized

This an image of a classical topus with small echogenic dots in a patient with gout

Conclusion

This case discusses the various ultrasound manifestations of gout.

Details

Sex: Male
Body part: Knee

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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