Skip to main content

Advertisement

Log in

An intra-articular synovial lipoma of the hip, possibly causing osteoarthritis: a case report and review of the literature

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

In this report, we present the case of an intra-articular synovial lipoma in a 58-year-old female with a coincident marked unilateral hip osteoarthritis. This patient suffered from right hip pain that developed gradually over 2 years. Physical examination noted decreased range of motion and evidence of impingement. MR and CT images showed an intra-articular fat-intense mass in the hip joint that was excised and confirmed as a synovial lipoma on histology. This case reveals that an intra-articular lipoma of the hip could be accompanied by pain or impingement and followed by hip osteoarthritis even in the absence of trauma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Hirano K, Deguchi M, Kanamono T. Intra-articular synovial lipoma of the knee joint (located in the lateral recess): a case report and review of the literature. Knee. 2007;14(1):63–7.

    Article  PubMed  Google Scholar 

  2. Ku JH, Cho HL, Park JT, Wang TH, Yang HS. Intra-articular synovial lipoma in the posteromedial compartment of the knee. Arthrosc Orthop Sports Med. 2014;1(1):54–8.

    Article  Google Scholar 

  3. Mells AJ, Gosey GM, Muldoon MP. Intra-articular lipoma of the hip. BMJ Case Reports. 2017;2017.

  4. Margheritini F, Villar RN, Rees D. Intra-articular lipoma of the hip. A case report. Int Orthop. 1998;22(5):328–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Amarjit KS, Budhiraja S, Chandramouleeswari K, Anita S. Knee locking in osteoarthritis due to synovial lipoma: a case report. J Clin Diagn Res. 2013;7(8):1708–9.

    Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  7. Min KD, Yoo JH, Song HS, Lee BI. A case of intra-articular synovial lipoma of the knee joint causing patellar dislocation. Knee Surg Sports Traumatol Arthrosc. 2010;18(8):1094–7.

    Article  PubMed  Google Scholar 

  8. Watanabe W, Itoi E, Yamada S. Early MRI findings of rapidly destructive coxarthrosis. Skelet Radiol. 2002;31(1):35–8.

    Article  Google Scholar 

  9. Fukui K, Kaneuji A, Fukushima M, Matsumoto T. Early MRI and intraoperative findings in rapidly destructive osteoarthritis of the hip: a case report. Int J Surg Case Rep. 2015;8:13–7.

    Article  PubMed Central  Google Scholar 

  10. Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg (Br). 1991;73(3):423–9.

    Article  CAS  Google Scholar 

  11. Matsuda DK, Khatod M. Rapidly progressive osteoarthritis after arthroscopic labral repair in patients with hip dysplasia. Arthroscopy. 2012;28(11):1738–43.

    Article  PubMed  Google Scholar 

  12. Kramer J, Recht M, Deely DM, et al. MR appearance of idiopathic synovial osteochondromatosis. J Comput Assist Tomogr. 1993;17(5):772–6.

    Article  CAS  PubMed  Google Scholar 

  13. Hughes TH, Sartoris DJ, Schweitzer ME, Resnick DL. Pigmented villonodular synovitis: MRI characteristics. Skelet Radiol. 1995;24(1):7–12.

    Article  CAS  Google Scholar 

  14. Greenspan A, Azouz EM, Matthews J 2nd, Decarie JC. Synovial hemangioma: imaging features in eight histologically proven cases, review of the literature, and differential diagnosis. Skelet Radiol. 1995;24(8):583–90.

    Article  CAS  Google Scholar 

  15. Vilanova JC, Barcelo J, Villalon M, Aldoma J, Delgado E, Zapater I. MR imaging of lipoma arborescens and the associated lesions. Skelet Radiol. 2003;32(9):504–9.

    Article  Google Scholar 

  16. Kan JH, Hernanz-Schulman M, Damon BM, Yu C, Connolly SA. MRI features of three paediatric intra-articular synovial lesions: a comparative study. Clin Radiol. 2008;63(7):805–12.

    Article  CAS  PubMed  Google Scholar 

  17. Friedman MV, Kyriakos M, Matava MJ, McDonald DJ, Jennings JW, Wessell DE. Intra-articular synovial sarcoma. Skelet Radiol. 2013;42(6):859–67.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Geun Young Lee.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kim, S., Lee, G.Y. & Ha, Y.C. An intra-articular synovial lipoma of the hip, possibly causing osteoarthritis: a case report and review of the literature. Skeletal Radiol 47, 717–721 (2018). https://doi.org/10.1007/s00256-017-2838-8

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-017-2838-8

Keywords

Navigation