Monoartritis gotosa de muñeca asociada a necrosis del semilunar. A propósito de un caso clínico

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Monoartritis gotosa de muñeca asociada a necrosis del semilunar. A propósito de un caso clínico

GOUT ARTHRITIS OF THE WRIST IN A PATIENT WITH NECROSIS OF THE LUNATE

N. OLMEDO GARCÍA y E. MACKENNEY CARRASCO Unidad de Mano. Servicio de Traumatología y Cirugía Ortopédica. Hospital General Universitario de Elche. Alicante.

Recepción:

09/01/2009

Aceptación:

09/01/2009

Publicación:

09/01/2009

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Resumen (ES)

We report a case of monoarthritis of the wrist associated with radiological signsof avascular necrosis of lunate. The synovial biopsy confirmed the diagnosis of gout. This is avery rare association. Differential diagnosis should be make with a metabolic arthritis when bonenecrosis is associated with osseous lesions in carpal bones and radius.

Palabras clave (ES):

Carpo

Artritis

Gota

Semilunar

Necrosis

Malacia

Kiemböck

gotosa

Resumen (EN)

We report a case of monoarthritis of the wrist associated with radiological signsof avascular necrosis of lunate. The synovial biopsy confirmed the diagnosis of gout. This is avery rare association. Differential diagnosis should be make with a metabolic arthritis when bonenecrosis is associated with osseous lesions in carpal bones and radius.

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