The double track sign is a typical imaging manifestation of gouty arthritis, which appears as irregular strips of strong echoes, parallel to the strong echogenic bands formed by the cartilage, in two parallel tracks. Gouty arthritis is mainly caused by the deposition of urate in the joints. Due to the deposition of urate on the surface of the cartilage, the echogenic bands are abnormal and appear as a double-track sign, which is usually rough and granular on the surface, with varying lightness and thinness, which may be continuous or intermittent, and usually does not go away, and it is usually used for early diagnosis. If it is clear that gouty arthritis, it is necessary to seek medical treatment in time, under the guidance of the doctor to choose allopurinol tablets, febuxostat tablets, colchicine tablets and other drugs, if the size of the gout stone continues to increase, it is necessary to carry out surgical treatment and pay attention to the control of purine-containing food intake, drink plenty of water, to promote the excretion of uric acid, and carry out appropriate exercise to enhance the physical fitness. If the above situation occurs, it is recommended to go to the hospital in time, early formal treatment.