Abstract
Lipoma arborescens is a rare non-neoplastic condition that affects the synovial lining of joints and bursae accounting for less than 1% of all lipomatous lesions. Characterized by villous proliferation of the synovium, it is an uncommon cause of intra/periarticular mass presenting as a painless, slowly progressive longstanding swelling, and is sometimes accompanied by intermittent monoarticular effusions. We describe a rare case of bilateral lipoma arborescens in the bicipitoradial bursae in a young male referred for MRI evaluation of spontaneous bilateral elbow swelling. We chose to bring this case to light because of the rare simultaneous involvement of the bicipitoradial bursae bilaterally and the role of MR in providing a definite diagnosis, hence obviating the need for biopsy and avoiding consideration of other complex intra/periarticular masses.
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References
Cerqueira WS, Bezerra de Melo RA, Costa FA, Comunello J, Bitencourt AGV, Chung WT. Lipoma arborescens of the elbow: a case with features of high-grade tumor. Rev Bras Ortop. 2017. https://doi.org/10.1016/j.rboe.2017.03.011.
Dinauer P, Bojescul JA, Kaplan KJ, Litts C. Bilateral lipoma arborescens of the bicipitoradial bursa. Skelet Radiol. 2002;31(11):661–5.
Martín S, Hernández L, Romero J, Lafuente J, Poza AI, Ruiz P, et al. Diagnostic imaging of lipoma arborescens. Skelet Radiol. 1998;27(6):325–9.
Sanamandra SK, Ong KO. Lipoma arborescens. Singap Med J. 2014;55(1):5–11.
Plotkin BE, Varma R. Lipoma arborescens of the knee in a 17-year-old man. Radiol Case Rep. 2008;3(2):164.
Sheldon PJ, Forrester DM, Learch TJ. Imaging of intraarticular masses. Radiographics. 2005;25(1):105–19.
Ranganath K, Rao GB. Namitha. Lipoma arborescens of the elbow. Indian J Radiol Imaging. 2010;20(1):50–2.
De Vleeschhouwer M, Van Den Steen E, Vanderstraeten G, Huysse W, De Neve J, Vanden Bossche L. Lipoma arborescens: review of an uncommon cause for swelling of the knee. Case Rep Orthop. 2016, 2016:9538075, 5 pages. https://doi.org/10.1155/2016/9538075.
Soler T, Rodriguez E, Bargiela A, Da Riba M. Lipoma arborescens of the knee. MR characteristics in 13 joints. J Comput Assist Tomogr. 1998;22:605–9.
Skaf AY, Boutin RD, Dantas RW, et al. Bicipitoradial bursitis: MR imaging findings in eight patients and anatomic data from contrast material opacification of bursae followed by routine radiography and MR imaging of cadavers. Radiology. 1999;212:111–6.
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Kalia, V., Daher, O., Garvin, G. et al. Synchronous bilateral lipoma arborescens of bicipitoradial bursa—a rare entity. Skeletal Radiol 47, 1425–1429 (2018). https://doi.org/10.1007/s00256-018-2915-7
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DOI: https://doi.org/10.1007/s00256-018-2915-7