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Lipoma Arborescens of both Knees - Case report and Literature Review

INTRODUCTION: Lipoma arborescens (LA) is a rare, benign intra-articular lesion most commonly found in the knee, characterised by villous proliferation of the synovium. It generally presents as a longstanding, slowly progressive swelling of one or more joints associated which may or may not be associ...

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Autores principales: Liddle, A, Spicer, DDM, Somashekar, N, Chirag, Thonse
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721885/
https://www.ncbi.nlm.nih.gov/pubmed/27298871
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author Liddle, A
Spicer, DDM
Somashekar, N
Chirag, Thonse
author_facet Liddle, A
Spicer, DDM
Somashekar, N
Chirag, Thonse
author_sort Liddle, A
collection PubMed
description INTRODUCTION: Lipoma arborescens (LA) is a rare, benign intra-articular lesion most commonly found in the knee, characterised by villous proliferation of the synovium. It generally presents as a longstanding, slowly progressive swelling of one or more joints associated which may or may not be associated with pain. MRI is the investigation of choice, with images clearest on fat-supressed or STIR sequences. CASE REPORT: We present a 35 year old male patient, who presented with a three year history of bilateral knee pain and swelling. Magnetic resonance imaging (MRI) scans of his knee showed the characteristic features of lipoma arborescens. A 99technetium bone scan revealed increased uptake in both knees. The patient underwent bilateral arthroscopic synovectomies and made an uneventful recovery. The samples sent for histology were reported as being characteristic of lipoma arborescens. CONCLUSIONS: Lipoma arborescens is a rare, benign intra-articular tumour which may mimic a number of other diagnoses. MRI should be considered to exclude this pathology as well as other uncommon intra-articular pathology. Treatment with synovectomy is frequently curative.
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spelling pubmed-47218852016-06-13 Lipoma Arborescens of both Knees - Case report and Literature Review Liddle, A Spicer, DDM Somashekar, N Chirag, Thonse J Orthop Case Rep Case Report INTRODUCTION: Lipoma arborescens (LA) is a rare, benign intra-articular lesion most commonly found in the knee, characterised by villous proliferation of the synovium. It generally presents as a longstanding, slowly progressive swelling of one or more joints associated which may or may not be associated with pain. MRI is the investigation of choice, with images clearest on fat-supressed or STIR sequences. CASE REPORT: We present a 35 year old male patient, who presented with a three year history of bilateral knee pain and swelling. Magnetic resonance imaging (MRI) scans of his knee showed the characteristic features of lipoma arborescens. A 99technetium bone scan revealed increased uptake in both knees. The patient underwent bilateral arthroscopic synovectomies and made an uneventful recovery. The samples sent for histology were reported as being characteristic of lipoma arborescens. CONCLUSIONS: Lipoma arborescens is a rare, benign intra-articular tumour which may mimic a number of other diagnoses. MRI should be considered to exclude this pathology as well as other uncommon intra-articular pathology. Treatment with synovectomy is frequently curative. Indian Orthopaedic Research Group 2012 /pmc/articles/PMC4721885/ /pubmed/27298871 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Liddle, A
Spicer, DDM
Somashekar, N
Chirag, Thonse
Lipoma Arborescens of both Knees - Case report and Literature Review
title Lipoma Arborescens of both Knees - Case report and Literature Review
title_full Lipoma Arborescens of both Knees - Case report and Literature Review
title_fullStr Lipoma Arborescens of both Knees - Case report and Literature Review
title_full_unstemmed Lipoma Arborescens of both Knees - Case report and Literature Review
title_short Lipoma Arborescens of both Knees - Case report and Literature Review
title_sort lipoma arborescens of both knees - case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721885/
https://www.ncbi.nlm.nih.gov/pubmed/27298871
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