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[Gout] Gouty tophus / synovitis midfoot

Patient Positioning

Patient lies supine with a small pillow under the dorsal aspect of the ankle or legs in "frog-like" position. The ankle is lying on its lateral aspect.

Probe Positioning

Place the transducer in a longitudinal way over the midfoot joints.

Patient with extreme pain, redness and swellig over the medially located midfoot joints. Known polyarticular gout, nephropathy. The ultrasound shows a synovitis of the joint between the medial cuneiform and 1st metatarsal bone and - typical in gout - a inflammation of the sorrounding tissue.