OBJECTIVE To establish if computed tomography (CT) imaging, which has proved helpful in detecting intra-articular tophi in gout, can also be used to document gouty enthesopathy and tendinopathy. METHODS Three patients with tophaceous gout and clinical involvement of the Achilles tendon (two cases) or patellar tendon (one case) were assessed with CT examination and plain radiographs. RESULTS...

Tendons adapt in response to sports-specific loading, but sometimes develop tendinopathy. If the presence of ultrasound changes like hypoechoic areas and neovascularization in asymptomatic tendons precede (and predict) future tendon problems is unknown. The aim of this prospective cohort study was to investigate the relationship between the development of ultrasound changes in the patellar and ...

BACKGROUND To date, prognostic outcome factors for patients undergoing arthroscopic treatment due to chronic patellar tendinopathy (PT) are lacking. The purpose of this study was to investigate whether preoperatively assessed MRI parameters might be of prognostic value for prediction of functional outcome and return to sports in arthroscopic treatment of chronic PT. METHODS A prospective coho...

A 51-year-old female with a history of gout, hypertension and diabetes presented to the emergency department with one week of increasing pain and swelling of her left knee, just below the patella. She denied trauma, fever and calf pain. She took Ciprofloxacin for 14 days for a urinary tract infection. She was afebrile with stable vital signs, and the exam revealed mild swelling, increased warmt...

The value of clinical research can be lost in translation and implementation. One often overlooked issue is whether clinicians determine if their patient similar to participants and, ipso facto, the clinician treating that will have same effects as what was reported a study. We present five questions tips for clinicians. The characteristics study’s considered ‘clinical phenotype’. field dedica...