... joints affecte d by gout.However, OA cannot solely explain the typical distribu-tion of joints affected by gout, as many joints commonlyaffected by OA such as the knees, f inger IP joints, andhips ... However,mid-foot and ankle involvement occurs in 25-50% and18-60% of patients respectively [5,8,9]. In contrast, the upper limb is involved in 13-46% [4,6,8,10] and the finger interphalangeal joints in only ... [16,17]. Crystals are t hen shed into the joint andactivate the inflammatory cascade via the NALP3inflammasome [18,19]. Hence, any explanation of whygout targets the foot must link these pathological...