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Case Reports   |    
Tophaceous Gout of the Rotator CuffA Case Report
Chih-Hao Chang, MD1; Chia-Hung Lu, MD1; Chih-Wei Yu, MD1; Mu-Zon Wu, MD1; Chao-Yu Hsu, MD1; Tiffany Ting-Fang Shih, MD1
1 Departments of Orthopaedic Surgery (C.-H.C.), Medical Imaging and Radiology (C.-H.L., C.-W.Y., C.-Y.H., and T.T.-F.S.), and Pathology (M.-Z.W.), National Taiwan University Hospital and National Taiwan University College of Medicine, 7 Chung-Shan South Road, Taipei, Taiwan 100. E-mail address for C.-Y. Hsu: joyhcy@gmail.com
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at the Departments of Orthopaedic Surgery, Medical Imaging and Radiology, and Pathology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2008 Jan 01;90(1):178-182. doi: 10.2106/JBJS.G.00249
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Extract

Gout is a common metabolic disorder characterized by recurrent episodes of arthritis associated with the presence of monosodium urate monohydrate crystals in synovial fluid leukocytes or periarticular soft tissues1. Tophaceous gout, representing the chronic phase of the disease process, usually occurs at least ten years before these lesions become visible radiographically or on physical examination2,3. Although gout frequently affects the feet, hands, wrists, elbows, and knees, involvement of the shoulder joint by gouty tophi is unusual4, and tophaceous gout of the rotator cuff is rare5.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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