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Case of the Week 524


What is the most likely diagnosis?

  • 65 year-old with elbow pain



Lateral Radiograph of Elbow

  1. Synovioma
  2. Giant Cell Tumor of Tendon Sheath
  3. Gout
  4. Olecranon Fracture
  5. 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

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    is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.