Year: 2025 | Month: November | Volume: 12 | Issue: 11 | Pages: 383-386
DOI: https://doi.org/10.52403/ijrr.20251140
The Rare Occurrence of Gout Arthritis in Calcaneocuboid Joint: A Case Report
I Wayan Subawa1, I Made Bagus Surya Mahapriandana2
1Department of Orthopaedic and Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia
2Resident of Orthopaedic and Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia
Corresponding Author: I Made Bagus Surya Mahapriandana
ABSTRACT
Introduction: Gout stands out as the predominant form of inflammatory arthritis caused by the accumulation of monosodium urate (MSU) crystals within joints and connective tissues. The classic manifestation of gout typically involves repeated acute episodes impacting the first metatarsophalangeal joints. However, sometimes the unusual occurrence of cyst can be happened and sometimes lead to misdiagnosis or be mistaken for other conditions. This will be the first case report about the unusual occurrence of gout arthritis in calcaneocuboid joint.
Case presentation: A-30-years old male came with pain on his left foot which was worsen by walking and relieved by resting since 6 months ago. History of trauma was denied. Patient underwent for x-ray and did not show any significance abnormality. Then, patient was treated as osteoarthritis metatarsal cuboid. He was given intraarticular injection of sodium hyaluronate 25 mg for twice in the period of one month. However, the symptoms were not significantly relieved. Patient underwent for CT-Scan 3D reconstruction. Then, it was found there was subchondral cyst in the lateral aspect of distal cuboid. Uric acid test showed increasement up to 12.8 mg/dL. Patient underwent for debridement and bone graft to evacuate the cyst. After the surgery, patient showed good functional and pain result.
Conclusion: Unusual presentation of gout arthritis is rarely happening and may lead to misdiagnosis. In this case, we presented a 30-year-old male with gout arthritis cyst inside the cuboid joint. Patient was successfully diagnosed with comprehensive approach although it is a rare occurrence.
Keywords: calcaneocuboid joint, foot, gout arthritis, osteoarthritis, uric acid.
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