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Intraarticular synovial lipoma of the knee located in the intercondylar notch, between ACL and PCL: a case report and review of the literature

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope


This report presents a 16 year old girl with persistent left knee pain caused by an intra-articular synovial lipoma (IASL) of the knee. Arthroscopy revealed a lipoma arising from the posterior aspect of the synovial membrane, extending in the femoral intercondylar notch, between the femoral attachments of anterior cruciate ligament and posterior cruciate ligament. Histological examination confirmed the diagnosis of IASL. IASL is a rarely described situation. There are only a few references in the literature. One IASL found in an adolescent and one more located in the intercondylar notch have been described.

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  1. Bernstein AD, Jazrawi LM, Rose DJ (2001) Arthroscopic treatment of an intra-articular lipoma of the knee joint. Arthroscopy 17(5):539–541

    Article  CAS  PubMed  Google Scholar 

  2. Blais RE, LaPrade RF, Chaljub G, Adesokan A (1995) The arthroscopic appearance of lipoma arborescens of the knee. Arthroscopy 11(5):623–627

    Google Scholar 

  3. Franco M, Puch JM, Carayon MJ, Bortolotti D, Albano L, Lallemand A (2004) Lipoma arborescens of the knee: report of a case managed by arthroscopic synovectomy. Joint Bone Spine 71(1):73–75

    Article  Google Scholar 

  4. Hallel T, Lew S, Bansal M (1988) Villous lipomatous proliferation of the synovial membrane (lipoma arborescens). J Bone Joint Surg Am 70(2):264–270

    CAS  PubMed  Google Scholar 

  5. Hill JA, Martin WD, Milgram JW (1993) Unusual arthroscopic knee lesions: case report of an intra-articular lipoma. J Natl Med Assoc 85:697–699

    Google Scholar 

  6. Husson JL, Chales G, Lancien G, Pawlotsky Y, Masse A (1987) True intra-articular lipoma of the lumbar spine. Spine 12:820–822

    Google Scholar 

  7. Jaffe HL (1958) Lipoma and fibroma of articular capsules, in tumors and tumorous conditions of the bones and joints. Lea and Febiger, Philadelphia, pp 574–575

    Google Scholar 

  8. Krebs VE, Parker RD (1994) Arthroscopic resection of an extrasynovial ossifying chondroma of the infrapatellar fat pad: endstage Hoffa’s disease? Arthroscopy 10:301–304

    CAS  PubMed  Google Scholar 

  9. Margheritini F, Villar RN, Rees D (1998) Intra-articular lipoma of the hip. A case report. Int Orthop 22:328–329

    Article  Google Scholar 

  10. Marui T, Yamamoto T, Kimura T, Akisue T, Nagira K, Nakatani T, Hitora T, Kurosaka M (2002) A true intra-articular lipoma of the knee in a girl. Arthroscopy 18(5):E24

    Article  Google Scholar 

  11. Matsumoto K, Okabe H, Ishizawa M, Hiraoka S (2001) Intra-articular lipoma of the knee joint. A case report. J Bone Joint Surg Am 83-A(1):101–105

    Google Scholar 

  12. Metheny JA, Mayor MB (1988) Hoffa’s disease: chronic impingement of the infra-patellar fat pad. Am J Knee Surg 1: 134–139

    Google Scholar 

  13. Nisolle JF, Boutsen Y, Legaye J, Bodart E, Parmentier JM, Esselinckx W (1998) Monoarticular chronic synovitis in a child. Br J Rheumatol 37(11):1243–1246

    Article  Google Scholar 

  14. Ogilvie-Harris DJ, Giddens J (1994) Hoffa’s disease: arthroscopic resection of the infrapatellar fat pad. Arthroscopy 10: 184–187

    PubMed  Google Scholar 

  15. Pudlowski RM, Gilula LA, Kyriakos M (1979) Intraarticular lipoma with osseous metaplasia: radiographic-pathologic correlation. Am J Roentgenol 132(3):471–3

    CAS  Google Scholar 

  16. Smillie IS (1974) Diseases of the knee joint. Churchill Livingstone, Edinburgh, pp 411

    Google Scholar 

  17. Sola JB, Wright RW (1998) Arthroscopic treatment for lipoma arborescens of the knee: a case report. J Bone Joint Surg Am 80(1):99–103

    CAS  PubMed  Google Scholar 

  18. Soler T, Rodriguez E, Bargiela A, Da Riba M (1998) Lipoma arborescens of the knee: MR characteristics in 13 joints. J Comput Assist Tomogr 22(4):605–609

    Article  CAS  PubMed  Google Scholar 

  19. Wolf RS, Zoys GN, Saldivar VA, Williams RP (2002) Lipoma arborescens of the hip. Am J Orthop 31(5):276–279

    Google Scholar 

  20. Yamaguchi S, Yamamoto T, Matsushima S, Yoshiya S, Matsubara N, Matsumoto T (2003) Solitary intraarticular lipoma causing sudden locking of the knee: a case report and review of the literature. Am J Sports Med 31(2):297–299

    PubMed  Google Scholar 

  21. Yeomans NP, Robertson A, Calder SJ (2003) Torsion of an intra-articular lipoma as a cause of pseudo locking of the knee. Arthroscopy 19(3):E27

    Article  CAS  Google Scholar 

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We express our gratitude to D.J. Papachristou and E. Ioachim of the Department of Pathology for their assistance in the histological configuration and documentation of the diagnosis.

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Correspondence to H. S. Vasiliadis.

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Motsis, E., Vasiliadis, H.S. & Xenakis, T.A. Intraarticular synovial lipoma of the knee located in the intercondylar notch, between ACL and PCL: a case report and review of the literature. Knee Surg Sports Traumatol Arthrosc 13, 683–688 (2005).

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