Acute Comminuted Pathologic Fracture of a Hallucal Sesamoid with Tophaceous Gout by Jae Young Kim, Jung-ho Park, and Jaeho Cho JBJS Case Connect Volume.

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Presentation transcript:

Acute Comminuted Pathologic Fracture of a Hallucal Sesamoid with Tophaceous Gout by Jae Young Kim, Jung-ho Park, and Jaeho Cho JBJS Case Connect Volume 4(3):e85 September 24, 2014 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph showing fragmentation of the fibular sesamoid. Jae Young Kim et al. JBJS Case Connect 2014;4:e85 ©2014 by The Journal of Bone and Joint Surgery, Inc.

CT showing the comminuted fracture of the fibular sesamoid with fragmentation. Jae Young Kim et al. JBJS Case Connect 2014;4:e85 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative specimen revealed a fragmented and chalky material in the sesamoid. Jae Young Kim et al. JBJS Case Connect 2014;4:e85 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Histopathologic examination showed tophi characterized by deposits of needlelike urate crystals (hematoxylin and eosin stain, 100× magnification). Jae Young Kim et al. JBJS Case Connect 2014;4:e85 ©2014 by The Journal of Bone and Joint Surgery, Inc.