Objective: The purpose of this case report is to describe the presentation of stress fractures in a patient with recurrent acute gout attacks.
Clinical Features: A 39-year-old male with a history of acute gout attacks presented with intense pain, swelling, and redness of the right midfoot. History revealed no incidence of trauma. The patient reported that previous gout flares had resolved over several days, yet this had persisted for several weeks with greater pain, swelling, and redness. X-ray examination showed no appreciable gouty arthropathy.
Intervention and Outcome: The patient was referred for MRI examination of the right foot. MRI revealed nondisplaced stress fractures of the cuboid and lateral cuneiform.
Conclusion: Gout is a fairly common condition in which repeated attacks may compromise structural integrity of affected regions. Practitioners must be aware of the potential for further complications, including stress fractures, in the recurrent acute gout patient.
Author keywords: Gout, stress fractures, chiropractic
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