Abstract
Gout is characterized by acute episodes of inflammatory arthritis caused by deposition of uric acid crystals in the joints and soft tissues. Gout affects an estimated 6.1 million people in the United States, and the prevalence is rising.1 It is divided into 3 clinical stages: acute, intercritical, and chronic.2 Hand surgeons can assist in the management of any stage but are typically involved with the evaluation of an acute gout flare. Acute gout typically presents as a monoarticular arthritis that most commonly affects the first metatarsophalangeal joint (termed podagra) but can involve the midfoot, ankle, or knee joint in 85%–90% of initial presentations.
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