Case Report


Gout presenting as a snapping knee

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1 House Officer, Department of Orthopaedic Surgery, National University Hospital (NUH), Singapore

2 MBBS, MMed (Ortho), FRCS Ed(Ortho), Visiting Consultant, Department of Orthopaedic Surgery, Changi General Hospital, Singapore

3 MBBS, FRCS (Tr & Ortho), Senior Consultant, Department of Orthopaedic Surgery, National University Hospital (NUH), Singapore

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Ong Wei Loong Bryan

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Article ID: 100027Z14OB2021

doi: 10.5348/100027Z14OB2021CR

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How to cite this article

Bryan OWL, Kiang ALC, Dave LYH. Gout presenting as a snapping knee. J Case Rep Images Orthop Rheum 2021;5:100027Z14OB2021.

ABSTRACT


Introduction: We report a case of knee gout, presenting as persistent audible knee snapping. We also discuss audible noises that arise with knee range of motion and their proposed etiologies.

Case Report: We report a 26-year-old male who presented with three months of audible knee snapping with knee flexion. The impression was patella malalignment with snapping. He underwent physiotherapy for six months with progression in symptoms. He underwent right knee arthroscopy, retinacular release with extensive uric acid deposits seen intraoperatively. The patient had resolution of the audible knee snapping after surgery.

Conclusion: There are few reports of audible knee snapping; most are related to postoperative noise after knee surgery. This is the first case in literature for audible knee snapping caused by gout arthropathy.

Keywords: Audible noise, Gout, Snapping knee

SUPPORTING INFORMATION


Author Contributions

Ong Wei Loong Bryan - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Adrian Lau Cheng Kiang - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Lee Yee Han Dave - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2021 Ong Wei Loong Bryan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.