Volume 2 | Issue 3 | JOCR July-Sep 2012 | Page 3-7 |
Liddle A, Spicer DDM, Somashekar N, Thonse Chirag
Lipoma Arborescens of both Knees- Case report and Literature Review
Authors:Liddle A1, Spicer DDM2, Somashekar N3, Thonse Chirag4
1Specialist Registrar, North West Thames Orthopaedic Rotation, UK
2Consultant Orthopaedic Surgeon, St Mary’s Hospital, London, UK
3Consultant Orthopaedic Surgeon, Hillingdon Hospital, London, UK
4Indian Orthopaedic Research Group, India
Address of Correspondence
Dr. Chirag Thonse. Indian Orthopaedic Research Group, India. Email: firstname.lastname@example.org
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.
Conclusion: 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.
Keywords: lipoma arborescens, knee, synovectomy
How to Cite This Article: Liddle A, Spicer DDM, Somashekar N,Thonse Chirag. Lipoma Arborescens of both Knee- Case report and Literature Review. J Orthopaedic Case Reports 2012 July-Sep;2(3):3-7. Available from: http://test.jocr.co.in/wp-content/uploads/2012/11/jocr-july-sep-2012-article-2.pdf