Arthroscopic treatment of a lipoma arborescens of the elbow: A case report.

Szczegóły
Abstrakt

Tytuł:: Arthroscopic treatment of a lipoma arborescens of the elbow: A case report.
Autorzy:: Paccaud J
Cunningham G; Department of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Switzerland, Rue Gabrielle-Perret-Gentil 4.; Shoulder Center, Hirslanden Clinique la Colline, Geneva, Switzerland.
Źródło:: Medicine [Medicine (Baltimore)] 2020 Dec 11; Vol. 99 (50), pp. e23595.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
MeSH Terms:: Arthritis, Rheumatoid*
Elbow Joint*
Joint Diseases/*diagnosis
Lipoma/*diagnosis
Arthralgia/etiology ; Arthroscopy ; Diagnosis, Differential ; Humans ; Joint Diseases/complications ; Joint Diseases/diagnostic imaging ; Joint Diseases/surgery ; Lipoma/complications ; Lipoma/diagnostic imaging ; Lipoma/surgery ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Synovectomy
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Entry Date(s):: Date Created: 20201217 Date Completed: 20210106 Latest Revision: 20221005
Update Code:: 20240105
PubMed Central ID:: PMC7738011
DOI:: 10.1097/MD.0000000000023595
PMID:: 33327323
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Introduction: Lipoma Arborescens is a rare pathology that mainly affects the knee. Occurrences in the elbow are even more uncommon and mainly involve the bicipitoradial bursa.
Case's Description: We describe the case of a 54-year-old patient known for rheumatoid arthritis, who consulted for chronic elbow pain associated with swelling and limited extension.
Diagnosis: The diagnosis of a lipoma arborescens of the elbow involving the whole joint was made using magnetic resonance imaging and confirmed during arthroscopy.
Interventions: After a failed nonoperative treatment consisting in intra-articular cortisone injections and physiotherapy, the patient underwent arthroscopic synovectomy and arthrolysis.
Outcome: At 1-year follow-up, he reported no pain, satisfactory range of motion, and major improvements in clinical scores.
Conclusion: This is the first illustrated case report about lipoma arborescens involving the whole elbow joint. Even though it is a rare disease, awareness of its presentation, imaging patterns, and treatment options is therefore important for clinicians, radiologists, and surgeons. In this case, arthroscopic treatment resulted in satisfactory and long-lasting pain relief and functional results. It may be considered as a safe and effective option in case of failed nonoperative measures.

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