Lipoma Arborescens: Rare Case of Rotator Cuff Tear Associated With the Presence of Lipoma Arborescens in the Subacromial-Subdeltoid and Glenohumeral Bursa

Benegas, Eduardo; Neto, Arnaldo Amado Ferreiro; Teodoro, Daniel Sabatini; Silva, Marcos Vinícius Muriano da; Oliveira, Augusto Medaglia de; Filippi, Renée Zon; Prada, Flávia de Santis

doi:10.1016/s2255-4971(15)30139-7

Cited by 4 publications

(3 citation statements)

References 10 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As an extrinsic cause of shoulder impingement [2], there are few reported tumours arising from the coracoacromial arch [3,4]. In addition, limited cases of subacromial space-occupying lesions have been reported as a cause of SIS, such as lipoma [5,6] and lipoma arborescens [7][8][9][10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Subacromial impingement by a lipoma arborescens

Elamin

Yeluri

Khatir

et al. 2021

SICOT-J

View full text Add to dashboard Cite

Subacromial impingement syndrome (SIS) is the leading cause of shoulder pain. A systemic approach for abnormal causes of SIS is recommended to avoid misdiagnosing rare or sinister pathologies. To our knowledge, only nine cases of subacromial lipoma arborescens associated with impingement syndrome have been reported in the literature. In this report, we briefly discuss histopathologic and radiological signs of an unusual case of impingement syndrome caused by subacromial “lipoma arborescens” and describe arthroscopic synovectomy after the failure of conservative management. The patient remains symptom-free five years after surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, nine cases of subacromial lipoma arborescens associated with impingement syndrome have been reported in the literature [7][8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Subacromial impingement by a lipoma arborescens

Elamin

Yeluri

Khatir

et al. 2021

SICOT-J

View full text Add to dashboard Cite

show abstract

“…As an example, involvement of the subacromial-subdeltoid bursa of the shoulder has been reported in association with rotator cuff tears and bursitis. 8 …”

Section: Discussionmentioning

confidence: 99%

Lipoma arborescens of the elbow: a case with features of a high-grade tumor

Cerqueira

Melo

Costa

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

Lipoma arborescens (LA) is an uncommon non-neoplastic disorder that may affect almost any joint, mainly the knee. LA is very rare in the elbow, and there are only a few cases reported in the literature. This study aimed to describe a case of LA in the elbow, presenting with features of a high-grade tumor. The authors report the case of a 51-years-old male who presented to this institution with pain and swelling on the left elbow. The patient had a seven-year history of investigation, with inconclusive diagnosis. Magnetic resonance imaging (MRI) showed an expansive mass with local aggressiveness. Due to these characteristics, it was not possible to discard soft tissue sarcoma at the differential diagnosis. After biopsy and a multidisciplinary team meeting, the authors opted for surgical resection. The final anatomopathological result confirmed the diagnosis of LA. Despite not being a true neoplasm, LA can cause many symptoms and functional impairment of the affected joint. It is important to keep this diagnosis in mind when any expansive mass surrounding a joint is observed.

show abstract

Surgical management of upper limb lipoma arborescens: a systematic review

et al. 2022

View full text Add to dashboard Cite

Background Lipoma arborescens (LA) is a rare benign synovial tumour characterized by the proliferation of mature adipocytes within the synovial cells. Given its rarity, current evidence is mainly based on case reports and case series, and no guidelines are available. The present study investigated the current surgical management and related outcomes of LA in the upper limb. Methods This systematic review was conducted following the PRISMA guidelines. PubMed, Scopus, and Virtual Health Library were accessed in September 2021. Clinical studies evaluating patients with LA undergoing surgical treatment were considered eligible for this systematic review. Only studies which reported data on LA located in the upper limb with histopathological confirmation were considered. Articles that reported data from nonsurgical management were not considered. Results A total of 21 studies reporting 22 lesions in 21 patients were assessed. The mean age of the patients was 48.48 years (range 22–77). Most studies evaluated the restoration of range of motion and symptom resolution for the functional outcome assessment. Open or arthroscopic excision and synovectomy were the most common surgical procedures for LA. The concomitant lesions were treated in a single-stage procedure. All patients had satisfactory outcomes after open or arthroscopic excision and synovectomy without recurrence at a mean follow-up of 21.14 months (range 2–60). One patient developed postoperative cellulitis (4.55%). Conclusion Open and arthroscopic excision combined with synovectomy should be considered the standard treatment option of upper limb LA. Concomitant pathologies can be addressed in a one-stage procedure. Although LA was recognized as a clinical entity decades ago, there is a lack of evidence based guidelines and long term outcome data are unavailable.

show abstract

Lipoma Arborescens: Rare Case of Rotator Cuff Tear Associated With the Presence of Lipoma Arborescens in the Subacromial-Subdeltoid and Glenohumeral Bursa

Cited by 4 publications

References 10 publications

Subacromial impingement by a lipoma arborescens

Subacromial impingement by a lipoma arborescens

Lipoma arborescens of the elbow: a case with features of a high-grade tumor

Surgical management of upper limb lipoma arborescens: a systematic review

Contact Info

Product

Resources

About