Computed tomography measurement of tophus volume: Comparison with physical measurement

Dalbeth, Nicola; Clark, Barnaby; Gregory, Kate; Gamble, Gregory D.; Doyle, Anthony; McQueen, Fiona

doi:10.1002/art.22612

Cited by 61 publications

(59 citation statements)

References 12 publications

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“…The modest relationship between physical tophus measurements and DECT urate volumes is in contrast with previous work showing a strong relationship between conventional CT volume and physical measurement of index tophi. 18 The relative clinical importance of MSU crystal load compared with total tophus size is currently uncertain. For example, it is not known whether the amount of MSU crystals or the tissue response to these crystals influence the impact of the tophus on development of joint damage or disability, or the rate of tophus regression in response to therapy.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Tophus Size

Dalbeth¹,

Aati²,

Gao³

et al. 2012

JCR: Journal of Clinical Rheumatology

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Section: Discussionmentioning

confidence: 99%

Assessment of Tophus Size

Dalbeth¹,

Aati²,

Gao³

et al. 2012

JCR: Journal of Clinical Rheumatology

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“…CT was recently shown to be reliable for tophi measurement in the hands and compared to physical measurement using a calliper [25]. In this location, CT was shown to be reliable and intra-observer and inter-observer exercises showed that the technique was reproducible.…”

Section: Imaging and Evaluation Of The Severity Of Goutmentioning

confidence: 97%

Imaging modalities and monitoring measures of gout

Pérez-Ruiz

Naredo

2007

Current Opinion in Rheumatology

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“…2 The spatial relation between the tophus and the extensor tendons can be determined clinically. The condition of the overlying skin should also be assessed especially for any tophaceous invasion.…”

Section: Technique Preoperative Assessment and Patient Positioningmentioning

confidence: 99%

Endoscopic Decompression of a Gouty Tophus at the Hand Dorsum

Lui¹

2017

Arthroscopy Techniques

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Medical treatment including lifestyle and dietary modifications and drug therapy remains the mainstay of treatment for gouty arthritis of the hand and wrist. Without proper and timely treatment, tophi develop approximately 10 years after the onset of the disease. Open surgery for tophaceous gout is associated with a relatively high rate of complications particularly related to the surgical wound and overlying skin necrosis. Intralesional shaving of the tophi through small incisions has been reported and has the advantage of fewer wound complications. However, this is a blind procedure, and the underlying tendons and neurovascular bundles are at risk. The purpose of this Technical Note is to report an endoscopic approach to debulking a gouty tophus at the hand dorsum. This allows the minimally invasive debulking procedure to be performed under endoscopic visualization and reduces the risk of injury to the tendon and neurovascular structures.

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Computed tomography measurement of tophus volume: Comparison with physical measurement

Cited by 61 publications

References 12 publications

Assessment of Tophus Size

Assessment of Tophus Size

Imaging modalities and monitoring measures of gout

Endoscopic Decompression of a Gouty Tophus at the Hand Dorsum

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