1st metatarsophalangeal joint synovitis
History of gout. Acute onset of pain at 1st MTP joint.
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Synovial thickening with hypervascularity is noted on the dorsal aspect of 1st metatarsophalangeal joint.
Typical findings in gout, such as cortical erosions or periarticular soft tissue deposits, were not noted.
Synovitis is a non-specific finding. It can be due to infection, inflammation (systemic disease), or trauma.
Classic ultrasound findings in chronic gout include marginal cortical erosions and periarticular soft tissue deposits (tophi).