Price Mark D, Padera Robert F, Harris Mitchel B, Vrahas Mark S
Harvard Combined Program in Orthopedic Surgery, Harvard Medical School, Boston, Massachusetts 02114, USA.
Clin Orthop Relat Res. 2006 Apr;445:250-3. doi: 10.1097/01.blo.0000218761.27558.2e.
Fracture of the patella is a relatively common condition seen in patients with trauma. We report one patient with known gout who sustained relatively minor trauma that resulted in a patellar fracture. An intraoperative biopsy confirmed that much of the patella had been replaced with gouty tophus. Gout is a rare cause of patellar fracture, with few documented cases. Postoperative management of patients with patella fractures secondary to gout may be routine with the addition of medical management for the underlying pathologic process.
髌骨骨折是创伤患者中较为常见的病症。我们报告了一例已知患有痛风的患者，其遭受相对较小的创伤后导致髌骨骨折。术中活检证实髌骨的大部分已被痛风石取代。痛风是髌骨骨折的罕见病因，仅有少数病例记录。对于痛风继发的髌骨骨折患者，术后管理在常规处理的基础上，还需针对潜在病理过程进行药物治疗。
