ArticleCureus2026
Extra-articular Endoscopic Treatment of Lateral Malleolar Tophaceous Gout: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
Funding
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Abstract
Gouty tophi are chronic manifestations of gout and are typically considered extra-articular lesions; however, periarticular extension around the ankle can complicate diagnosis and surgical decision-making. Open excision of lateral malleolar tophi is often associated with wound complications due to limited soft tissue coverage. A 56-year-old man presented with a progressively enlarging, painful mass over the lateral malleolus of the left ankle, causing difficulty wearing shoes. Imaging studies revealed a periarticular soft tissue mass with calcification and rice body-like inflammatory changes. Despite imaging findings suggestive of joint involvement, the lesion was clinically localized extra-articularly. Endoscopic excision was performed by directly inserting a trocar into the tophaceous mass to create a working tunnel, without introducing an arthroscope into the ankle joint. Extensive chalky deposits were successfully removed with minimal soft tissue disruption. Extra-articular endoscopic excision is a safe and effective minimally invasive option for treating lateral malleolar gouty tophi. This approach may obviate the need for intra-articular arthroscopy, even when periarticular inflammatory changes are present on imaging, and can provide favorable functional outcomes with reduced risk of wound complications.
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