All joints are involved in acute gout except:
Other than the great toe, the most common sites of gouty ahritis are the ankle, wrist, finger joints, and knee. In early gout, only 1 or 2 joints are usually involved. Consider the diagnosis in any patient with acute monoaicular ahritis of any peripheral joint except the glenohumeral joint of the shoulder.
MTP
Gleno-humeral joint
Ankle joint
Knee joint
Crystal Ahropathy