✅ Knee MRI Mastery/Chap 5E. Other

(Fig 5-E.07) Extracapsular Locations of Tophi

MSK MRI 2024. 7. 23. 21:44

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📌 Extracapsular Tophi

Extracapsular tophi typically affect the prepatellar bursae and extensor mechanism, leading to several characteristic changes:

  • Anterior soft-tissue prominence
  • Bursal distention
  • Tendon enlargement due to intratendinous urate deposition
  • Well-marginated erosions at the patella and tibial tuberosity

 

📌 Subcutaneous or Extra-Articular Tophi

  • Subcutaneous or extra-articular tophi are usually a late manifestation and often occur together with intra-articular tophaceous deposition. 
  • Extra-articular tophi are relatively rarer than intra-articular tophi, and in most patients, extra-articular tophi are associated with intra-articular lesions.

 

References

  1. RadioGraphics 2018; 38:2069–2101
  2. J Clin Rheumatol. 2010 Aug;16(5):209-14

 

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#ExtracapsularTophi, #PrepatellarBursae, #ExtensorMechanism, #UrateDeposition, #TophaceousDeposition, #SubcutaneousTophi, #ExtraArticularTophi, #SoftTissueProminence, #BursalDistention, #TendonEnlargement