Spontaneous Fracture of the Fifth Metatarsal Secondary to Gout Tophus in a Young Patient: A Case Report.

ABSTRACT

Gout is a common disease, and its prevalence is increasing. After several years of untreated gout, in very rare cases tophi may cause a spontaneous fracture. This type of fracture may be difficult to distinguish from others, especially when gout is not yet diagnosed. We present a case of a pathological fracture caused by tophus in a young man, which led to the diagnosis of gout.