Isolated Chronic Tophaceous Gout of the Elbow: A Rare Presentation of Olecranon Bursopathy Requiring Surgical Excision

Tophaceous gout is a chronic sequela of hyperuricemia, typically and predominantly affecting peripheral joints. However, isolated elbow involvement of the olecranon with a large tophaceous ulcer is uncommon. We report a rare case of chronic tophaceous olecranon bursopathy in a 48-year-old male patient with poorly controlled hyperuricemia, highlighting the diagnostic, imaging, and surgical aspects of this condition. The histopathological examination confirmed the presence of urate crystal tophi devoid of any malignant features.