Intra Articular Synovial Lipoma of the Right Tarsometatarsal Joint- A Rare Case Report

P, Pavithra; Arundhathi, S; Kodandaswamy, C. R.

doi:10.7860/jcdr/2014/9311.4540

Cited by 6 publications

(1 citation statement)

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“…However, intra-articular lipomas are extremely rare and are found mostly in the knee joint 3. Only a handful of cases of true lipoma have been reported in the hip, shoulder, elbow, spine and tarsometatarsal joints combined 4. Intra-articular lipomas of the knee can present with sudden locking of the joint caused by detachment of loose bodies from the lipoma or impingement from a rapidly growing mass 5.…”

Section: Discussionmentioning

confidence: 99%

Intra-articular lipoma of the hip

Mells¹,

Gosey

Muldoon

2017

BMJ Case Reports

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Intra-articular lipoma of the hip is a rare entity, with only two reports published in the English-language literature. We present a case of successful arthroscopic resection of an intra-articular peripheral compartment lipoma in a 69-year-old woman with a coincident labral tear. This woman presented with left hip pain that developed gradually over 2 years and increased over 2 months. MRI showed a fat-intense mass in the anterior aspect of the hip joint, convincing for intra-articular lipoma. Physical examination in the operating room reproduced decreased range of motion and evidence of impingement but with a soft endpoint. Arthroscopy revealed an anterior intrasubstance labral tear, which was debrided. The mass was excised and confirmed as true lipoma on histology. The soft endpoint on examination illustrates that a large lipoma of the hip joint can cause clinical symptoms of impingement in the absence of bony abnormality or trauma.

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Section: Discussionmentioning

confidence: 99%