TY - BOOK AU - Aboulafia, Albert AU - Jelinek, James S AU - Wallace, Matthew T TI - Gouty involvement of the patella and extensor mechanism of the knee mimicking aggressive neoplasm. A case series SN - 0364-2348 PY - 2018/// KW - *Gout/dg [Diagnostic Imaging] KW - *Knee Joint/dg [Diagnostic Imaging] KW - *Magnetic Resonance Imaging KW - *Patella/dg [Diagnostic Imaging] KW - *Tomography, X-Ray Computed KW - Aged KW - Bone Neoplasms KW - Diagnosis, Differential KW - Gout/pa [Pathology] KW - Gout/su [Surgery] KW - Humans KW - Knee Joint/pa [Pathology] KW - Knee Joint/su [Surgery] KW - Male KW - Middle Aged KW - Patella/pa [Pathology] KW - Patella/su [Surgery] KW - Sensitivity and Specificity KW - MedStar Franklin Square Medical Center KW - MedStar Washington Hospital Center KW - Orthopaedic Oncology, National Center for Bone and Soft Tissue Tumors KW - Orthopaedic Onology KW - Radiology KW - Journal Article N1 - Available online from MWHC library: 1997 - present N2 - Gout is a common inflammatory crystal deposition disease that occurs in many joints throughout the body. Active gout is most often associated with painful synovitis causing searing joint pains, but gout can also produce large masses of space-occupying deposits called tophi. Tophi are most frequently seen in juxta-articular locations with or without bony erosion and are often misdiagnosed as degenerative joint disease. Soft tissue deposits and tendon involvement are also known manifestations of gout, but can present with indeterminate and alarming findings on imaging. We present three cases of tophaceous gout mimicking aggressive neoplasms in the extensor mechanism of the knee. All cases presented as extensor tendon masses eroding into the patella, with imaging findings initially concerning for primary musculoskeletal malignancy UR - https://dx.doi.org/10.1007/s00256-017-2871-7 ER -