What is the most likely diagnosis?
- 65 year-old with elbow pain
Lateral Radiograph of Elbow
- Synovioma
- Giant Cell Tumor of Tendon Sheath
- Gout
- Olecranon Fracture
- Osteochondritis Dissecans
Additional Images-None
Additional Images
None
Answer:
3. Gout
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Gout
General Considerations
- Deposition of sodium urate monohydrate crystals in synovial membranes, articular cartilage, ligaments, bursae leading to destruction of cartilage
- Age of onset is usually greater than 40 years; males much more often than females
- Radiologic features usually not seen until 6-12 years after initial attack
- Radiologic features present in 50% of affected patients