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Severe Shoulder Pain Caused by Lipoma Arborescens in the Subdeltoid Bursa: A Case Report

INTRODUCTION: Lipoma arborescens is a tumor-like lesion that occurs inside joints and synovial bursae, especially in knee joints. It rarely occurs in the shoulder joints and this disease usually causes severe shoulder pain. This study aims to report a rare case of lipoma arborescens occurring in the...

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Autores principales: Yamada, Shugo, Nakayama, Masanori, Kiyota, Yasuhiro, Ishii, Ken
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10178821/
https://www.ncbi.nlm.nih.gov/pubmed/37187814
http://dx.doi.org/10.13107/jocr.2023.v13.i03.3572
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author Yamada, Shugo
Nakayama, Masanori
Kiyota, Yasuhiro
Ishii, Ken
author_facet Yamada, Shugo
Nakayama, Masanori
Kiyota, Yasuhiro
Ishii, Ken
author_sort Yamada, Shugo
collection PubMed
description INTRODUCTION: Lipoma arborescens is a tumor-like lesion that occurs inside joints and synovial bursae, especially in knee joints. It rarely occurs in the shoulder joints and this disease usually causes severe shoulder pain. This study aims to report a rare case of lipoma arborescens occurring in the subdeltoid bursa with severe shoulder pain. CASE REPORT: A 59-year-old woman with severe pain and restriction of range of motion (ROM) for her right shoulder consisting for 2 months was referred to our hospital. Magnetic resonance imaging (MRI) findings revealed that a tumor-like lesion exists in the subdeltoid bursa in her right shoulder and blood examinations revealed no abnormal findings. Surgical resection of the tumor-like lesion was performed and the rotator cuff was repaired because this tumor-like lesion invaded the rotator cuff partially. Pathology examination of the resected tissues was consistent with lipoma arborescens. One year after surgery, the patient’s shoulder pain was diminished and its ROM recovered. There was no significant difficulty in activities of daily living. CONCLUSION: Lipoma arborescens should be considered when patients present with complaints of severe shoulder pain. Even if their physical findings do not suggest rotator cuff injuries, MRI should be performed to rule out lipoma arborescens.
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spelling pubmed-101788212023-05-13 Severe Shoulder Pain Caused by Lipoma Arborescens in the Subdeltoid Bursa: A Case Report Yamada, Shugo Nakayama, Masanori Kiyota, Yasuhiro Ishii, Ken J Orthop Case Rep Case Report INTRODUCTION: Lipoma arborescens is a tumor-like lesion that occurs inside joints and synovial bursae, especially in knee joints. It rarely occurs in the shoulder joints and this disease usually causes severe shoulder pain. This study aims to report a rare case of lipoma arborescens occurring in the subdeltoid bursa with severe shoulder pain. CASE REPORT: A 59-year-old woman with severe pain and restriction of range of motion (ROM) for her right shoulder consisting for 2 months was referred to our hospital. Magnetic resonance imaging (MRI) findings revealed that a tumor-like lesion exists in the subdeltoid bursa in her right shoulder and blood examinations revealed no abnormal findings. Surgical resection of the tumor-like lesion was performed and the rotator cuff was repaired because this tumor-like lesion invaded the rotator cuff partially. Pathology examination of the resected tissues was consistent with lipoma arborescens. One year after surgery, the patient’s shoulder pain was diminished and its ROM recovered. There was no significant difficulty in activities of daily living. CONCLUSION: Lipoma arborescens should be considered when patients present with complaints of severe shoulder pain. Even if their physical findings do not suggest rotator cuff injuries, MRI should be performed to rule out lipoma arborescens. Indian Orthopaedic Research Group 2023-03 2023-03 /pmc/articles/PMC10178821/ /pubmed/37187814 http://dx.doi.org/10.13107/jocr.2023.v13.i03.3572 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms
spellingShingle Case Report
Yamada, Shugo
Nakayama, Masanori
Kiyota, Yasuhiro
Ishii, Ken
Severe Shoulder Pain Caused by Lipoma Arborescens in the Subdeltoid Bursa: A Case Report
title Severe Shoulder Pain Caused by Lipoma Arborescens in the Subdeltoid Bursa: A Case Report
title_full Severe Shoulder Pain Caused by Lipoma Arborescens in the Subdeltoid Bursa: A Case Report
title_fullStr Severe Shoulder Pain Caused by Lipoma Arborescens in the Subdeltoid Bursa: A Case Report
title_full_unstemmed Severe Shoulder Pain Caused by Lipoma Arborescens in the Subdeltoid Bursa: A Case Report
title_short Severe Shoulder Pain Caused by Lipoma Arborescens in the Subdeltoid Bursa: A Case Report
title_sort severe shoulder pain caused by lipoma arborescens in the subdeltoid bursa: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10178821/
https://www.ncbi.nlm.nih.gov/pubmed/37187814
http://dx.doi.org/10.13107/jocr.2023.v13.i03.3572
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