An Incidental Periscapular Lipoma With Marked Bone Erosion in an Elderly Woman With Contralateral Shoulder Pain

Koyuncu, Esra Gizem; Aydıngöz, Üstün; İskender, Öner; Kara, Murat; Özçakar, Levent

doi:10.1016/j.pmrj.2018.04.008

Cited by 3 publications

(3 citation statements)

References 3 publications

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“… 23 For sure, medical history, physical examination, and US features must be interpreted altogether (in doubtful cases) 23 . Last, detailed characterization of the sonographic pattern of the MTrP is paramount for the differential diagnosis, that is, with regard to intramuscular neoformations originating from muscular, 24 connective, 25 neural, 26 or vascular 27,28 tissues. Of note, such pathologies may show some sonographic “red flags” such as irregular edges infiltrating the surrounding tissues, localized mass effect with compression of the nearby structures, mixed inner echotexture with alternation of solid and fluid components due to necrotic foci, intralesional calcifications, and atypical perfusion pattern in color/power Doppler imaging 24–28 …”

Section: Sonographic Assessment Of the Mtrpsmentioning

confidence: 99%

“…Of note, such pathologies may show some sonographic "red flags" such as irregular edges infiltrating the surrounding tissues, localized mass effect with compression of the nearby structures, mixed inner echotexture with alternation of solid and fluid components due to necrotic foci, intralesional calcifications, and atypical perfusion pattern in color/power Doppler imaging. [24][25][26][27][28] Third Phase: Assessment of the Vascularization…”

Section: Sonotracking Of the Painful Areamentioning

confidence: 99%

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From Histoanatomy to Sonography in Myofascial Pain Syndrome

Ricci

Gervasoni

et al. 2022

Am J Phys Med Rehabil

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Myofascial pain is a common clinical condition, whereby accurate physical examination is usually considered as the cornerstone to identify/diagnose the "trigger point complex," that is, the characteristic finding of this syndrome. Considering the emerging role of ultrasound examination as the natural extension of physical assessment for musculoskeletal disorders, we briefly revise the histological/anatomical features of trigger points and propose a standardized, multistep sonographic approach to myofascial pain. We also imply that the integrated clinical-ultrasound evaluation could be considered as a potential tool to discriminate different phases/subsets of this challenging pathology.

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Section: Sonographic Assessment Of the Mtrpsmentioning

confidence: 99%

Section: Sonotracking Of the Painful Areamentioning

confidence: 99%

From Histoanatomy to Sonography in Myofascial Pain Syndrome

Ricci

Gervasoni

et al. 2022

Am J Phys Med Rehabil

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“…Lipomas are relatively common (about 1% in the general population), slowly growing mesenchymal tumors of mature fat cells, which may extend to deep fascial planes, muscles, bones and joints 1. Although they usually develop as solitary lesions, about 20% of patients present with multiple lipomas.…”

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confidence: 99%

Lipolysis of a painful lipoma with ozone: the role of ultrasound in the diagnosis and quantification of the treatment

Kara¹,

Kara

2019

Med Gas Res

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Reverse Total Shoulder Arthroplasty in the Setting of an Intramuscular Lipoma With Extension Into the Glenoid: A Case Report

Griswold,

DeFoor,

Steflik

et al. 2024

Hand (New York, N,Y.)

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Glenoid bone loss from an infiltrating intramuscular lipoma causing erosive changes is a rare occurrence. A 71-year-old woman with symptomatic rotator cuff arthropathy in the setting of an intramuscular infiltrating lipoma and secondary glenoid bone loss was treated with single-stage tumor excision and reverse total shoulder arthroplasty (rTSA) using an injectable, hard self-setting calcium phosphate as structural bone graft substitute. The patient demonstrated excellent clinical and radiographic outcomes at 2-year follow-up. Infiltrating lipomas resulting in functional rotator cuff arthropathy and erosive osseous glenoid changes are exceedingly rare, yet significant glenoid bony defects present a challenge in the setting of shoulder arthroplasty. This report describes the use of structural bone graft substitute for the management of a glenoid bone defect from a rare case of an intramuscular infiltrating lipoma, while maintaining excellent improvement in functional outcomes and pain after rTSA.

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An Incidental Periscapular Lipoma With Marked Bone Erosion in an Elderly Woman With Contralateral Shoulder Pain

Cited by 3 publications

References 3 publications

From Histoanatomy to Sonography in Myofascial Pain Syndrome

From Histoanatomy to Sonography in Myofascial Pain Syndrome

Lipolysis of a painful lipoma with ozone: the role of ultrasound in the diagnosis and quantification of the treatment

Reverse Total Shoulder Arthroplasty in the Setting of an Intramuscular Lipoma With Extension Into the Glenoid: A Case Report

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