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Gout of the Knee !

Gout of the knee is a painful attack of joint inflammation caused by uric acid (urate) crystals; the big toe is the classic first site.

Updated 2026-10-23

Structures involved

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In the clinical exam

Why it happens

What it is

Crystal arthropathy from monosodium urate crystals. The first attack is usually the big toe (podagra); the knee is also common.

Symptoms and signs

  • Sudden severe pain, redness, and swelling
  • Limited motion

Diagnosis

Clinical
Acute monoarthritis
Tests
Joint fluid showing negatively birefringent crystals

Treatment

Acute
Anti-inflammatory treatment for the acute attack.
Medical
Urate-lowering therapy for recurrent disease.

Educational information, not medical advice. For any symptom, see a health professional.

Sources: Gout (StatPearls (NCBI Bookshelf), 2024).

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Representative model, for educational purposes only.

Joint capsule highlighted on the Durgical 3D model