TY - JOUR T1 - Gouty Tophi Presenting as Medial Patellar Plica Syndrome and Patellofemoral Disorder to Limit Knee Range of Motion JF - The Journal of Rheumatology JO - J Rheumatol SP - 680 LP - 681 DO - 10.3899/jrheum.090889 VL - 37 IS - 3 AU - YAT-YIN LAW AU - KO-HUANG LUE AU - KO-HSIU LU Y1 - 2010/03/01 UR - http://www.jrheum.org/content/37/3/680.abstract N2 - To the Editor:Patellofemoral disorders are the most important causes of anterior knee pain and can be treated by conservative methods, arthroscopic lateral retinacular release, and proximal and distal realignment procedures. Even medial patellar pain is more likely to be associated with patellofemoral maltracking than medial patellar plica syndrome. For anterior knee pain, an accurate history and examination confirming the diagnosis is most important to avoid unsuitable treatment.Mechanically limiting the range of motion (ROM) of the knee joint is a rare occurrence in patients with chronic gout, which is associated with the appearance of multiple periarticular gouty tophi1 and a symptomatic tophus in the knee joint2–5. With improved medical management over the past decade, tophi deposition usually lacks obvious symptoms and seldom needs surgical intervention in the knee joint2–5. We describe a rare case of arthroscopically successful treatment for gouty … Address reprint requests to Dr. K-H. Lu; E-mail: cshy307{at}csh.org.tw ER -