Summary
The authors report three cases of lumbar apophyseal joint lipoma located at the L4/L5 or L5/S1 level. CT scan makes the diagnosis easily possible; indeed erosive changes with enlargement of the upper portion of the lumbar articular joint and anterior displacement of the top of the superior facet are associated with intra-articular fatty densities. Clinical symptoms are rarely encountered and may be related to narrowing of the upper portion of the intervertebral foramen.
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References
Burgan DW (1971) Lipoma aborescens of the knee. Another cause of filling defects on a knee arthogram. Radiology 101: 583–584
Diamant-Berger ML (1930) Un cas de volvulus d'un lipome pédiculé intra-articulaire du genou. Bull Mem Soc Natl Chir 56:744–745
Greenfield GB (1986) Radiology of bone diseases. Lippincott, Philadelphia
Husson JL, Chales G, Lancien G, Pawlotsky Y, Masse A (1987) True intra-articular lipoma of the lumbar spine. Spine 12: 820–822
Madewell JE, Sweet DE (1988) Tumors and tumor-like lesions in or about joints. In: Resnick D, Niwayama G (eds) Diagnosis of bone and joints disorders. Saunders, Philadelphia, pp 3891–3899
Pudlowski RM, Gilula LA, Kyriakos M (1979) Intra-articular lipoma with osseous metaplasia: radiographic pathologic correlation. AJR 132:471–473
Wackenheim A, Dietemann JL (1987) Radiodiagnostic du rachis lombaire. Masson, Paris
Weston WJ (1973) The intrasynovial fatty masses in chronic rheumatoid arthritis. Br J Radiol 46:213–216
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Dietemann, J.L., Bonneville, J.F., Runge, M. et al. Computed tomography of lumbar apophyseal joint lipoma: Report of three cases. Neuroradiology 31, 60–62 (1989). https://doi.org/10.1007/BF00342032
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DOI: https://doi.org/10.1007/BF00342032