Wrist gouty arthritis presenting as scaphoid erosions with scapholunate ligament disruption

Description: We report a 43-year-old man who presented with features of acute wrist inflammation with scapholunate dissociation. Radiologically, erosions were noted in the proximal pole of the scaphoid. The patient underwent wrist arthrotomy, exploration and washout with intraoperative bacterial cultures and histology specimens were obtained. Histological analysis revealed the diagnosis of gout. We discuss the clinical presentation and literature review of this topic. This case illustrates that gout may mimic infection.
Wrist gouty arthritis presenting as scaphoid erosions with scapholunate ligament disruption. Lee YH, Tan HW, Lee HC. Singapore Med J. 2008 Aug;49(8):e202-4. full text