Case Report

VOLUME: 38 | ISSUE: 4 | Dec 30, 2022 | PAGE: (198 - 202) | DOI: 10.24911/BioMedica/5-843

Lipoma arborescence of knee joint in an adolescent male patient: a case report


Authors: Shuja Uddin , Adeel Hamid , Ahmed Umair Asad Khan , Hafiz M. Umar , Iqra Fatima , M. Rizwan Shah , Mian Muhammad Haneef


Authors

Shuja Uddin

Lahore General Hospital, Lahore, Pakistan

Adeel Hamid

Assistant Professor, Department of Orthopedic Surgery, Lahore General Hospital, Lahore, Pakistan

Ahmed Umair Asad Khan

Postgraduate Resident, Department of Orthopedic Surgery, Lahore General Hospital, Lahore, Pakistan

Hafiz M. Umar

Consultant Orthopedic Surgeon, Tehsil Headquarter Hospital, Khanewal, Pakistan

Iqra Fatima

Postgraduate Resident, Radiology Department, Sir Ganga Ram Hospital, Lahore, Pakistan

M. Rizwan Shah

Assistant Professor, Department of Orthopedic Surgery, Lahore General Hospital, Lahore, Pakistan

Mian Muhammad Haneef

Professor, Department of Orthopedic Surgery, Lahore General Hospital, Lahore, Pakistan

Publication History

Received: September 24, 2022

Revised: November 08, 2022

Accepted: December 16, 2022

Published: December 30, 2022


Abstract


A very uncommon benign synovial membrane tumor is called lipoma arborescens. It often affects a single articulation, the knee. Despite a conventional imaging assessment, the lesion’s histological analysis is still required for the ultimate diagnosis. A 15-year-old boy attended the outpatient clinic of the Lahore General Hospital Lahore, Pakistan with pain and swelling in his left knee that had been steadily worsening over the previous 4 years. There were no concomitant prodromal symptoms, and the swelling was soft and non-tender while also inhibiting knee flexion. Soft tissue shadows were observed on radiographs. A large amount of subarticular erosion in the nearby tibial and femoral condyle was caused by the frond-like proliferation of fatty synovium, according to magnetic resonance imaging. Only the left knee joint showed focused areas of unusually elevated radionuclide uptake during the Technetium (Tc99m) bone scan. After an open synovectomy, the specimen underwent histological analysis, which revealed villiform fatty tissue, a hallmark of Lipoma arborescens coated by somewhat thicker synovium. Although infrequent, open synovectomy is currently the preferred course of treatment for lipoma arborescens, which should be taken into account when making a differential diagnosis of knee diseases. Approximately 3 months after surgery, the patient underwent his most recent follow-up and was asymptomatic with a small amount of joint effusion.


Keywords: Knee swelling, Lipoma arborescens, Synovectomy


Pubmed Style

Shuja Uddin, Adeel Hamid, Ahmed Umair Asad Khan, Hafiz M. Umar, Iqra Fatima, M. Rizwan Shah, Mian Muhammad Haneef. Lipoma arborescence of knee joint in an adolescent male patient: a case report. BioMedica. 2023; 07 (March 2023): 198-202. doi:10.24911/BioMedica/5-843

Web Style

Shuja Uddin, Adeel Hamid, Ahmed Umair Asad Khan, Hafiz M. Umar, Iqra Fatima, M. Rizwan Shah, Mian Muhammad Haneef. Lipoma arborescence of knee joint in an adolescent male patient: a case report. https://biomedicapk.com/10.51441/BioMedica/5-843 [Access: March 28, 2023]. doi:10.24911/BioMedica/5-843

AMA (American Medical Association) Style

Shuja Uddin, Adeel Hamid, Ahmed Umair Asad Khan, Hafiz M. Umar, Iqra Fatima, M. Rizwan Shah, Mian Muhammad Haneef. Lipoma arborescence of knee joint in an adolescent male patient: a case report. BioMedica. 2023; 07 (March 2023): 198-202. doi:10.24911/BioMedica/5-843

Vancouver/ICMJE Style

Shuja Uddin, Adeel Hamid, Ahmed Umair Asad Khan, Hafiz M. Umar, Iqra Fatima, M. Rizwan Shah, Mian Muhammad Haneef. Lipoma arborescence of knee joint in an adolescent male patient: a case report. BioMedica. (2023), [cited March 28, 2023]; 07 (March 2023): 198-202. doi:10.24911/BioMedica/5-843

Harvard Style

Shuja Uddin, Adeel Hamid, Ahmed Umair Asad Khan, Hafiz M. Umar, Iqra Fatima, M. Rizwan Shah, Mian Muhammad Haneef (2023) Lipoma arborescence of knee joint in an adolescent male patient: a case report. BioMedica, 07 (March 2023): 198-202. doi:10.24911/BioMedica/5-843

Chicago Style

Shuja Uddin, Adeel Hamid, Ahmed Umair Asad Khan, Hafiz M. Umar, Iqra Fatima, M. Rizwan Shah, Mian Muhammad Haneef. "Lipoma arborescence of knee joint in an adolescent male patient: a case report." 07 (2023), 198-202. doi:10.24911/BioMedica/5-843

MLA (The Modern Language Association) Style

Shuja Uddin, Adeel Hamid, Ahmed Umair Asad Khan, Hafiz M. Umar, Iqra Fatima, M. Rizwan Shah, Mian Muhammad Haneef. "Lipoma arborescence of knee joint in an adolescent male patient: a case report." 07.March 2023 (2023), 198-202. Print. doi:10.24911/BioMedica/5-843

APA (American Psychological Association) Style

Shuja Uddin, Adeel Hamid, Ahmed Umair Asad Khan, Hafiz M. Umar, Iqra Fatima, M. Rizwan Shah, Mian Muhammad Haneef (2023) Lipoma arborescence of knee joint in an adolescent male patient: a case report. , 07 (March 2023), 198-202. doi:10.24911/BioMedica/5-843