Lipoma Arborescens of the Knee: Report of Three Cases and Review of the Literature

Lipoma arborescens is a chronic, slow-growing, intra-articular lesion of benign nature, which is characterized by villous proliferation of the synovium, with replacement of the subsynovial connective tissue by mature fat cells. It usually involves the suprapatellar pouch of the knee joint. It is not...

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Main Authors: Ioannis Tsifountoudis, Dimitrios Kapoutsis, Anastasios-Nektarios Tzavellas, Ioannis Kalaitzoglou, Apostolos Tsikes, George Gkouvas
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2017/3569512
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author Ioannis Tsifountoudis
Dimitrios Kapoutsis
Anastasios-Nektarios Tzavellas
Ioannis Kalaitzoglou
Apostolos Tsikes
George Gkouvas
author_facet Ioannis Tsifountoudis
Dimitrios Kapoutsis
Anastasios-Nektarios Tzavellas
Ioannis Kalaitzoglou
Apostolos Tsikes
George Gkouvas
author_sort Ioannis Tsifountoudis
collection DOAJ
description Lipoma arborescens is a chronic, slow-growing, intra-articular lesion of benign nature, which is characterized by villous proliferation of the synovium, with replacement of the subsynovial connective tissue by mature fat cells. It usually involves the suprapatellar pouch of the knee joint. It is not a neoplasm but is rather considered a nonspecific reactive response to chronic synovial irritation, due to either mechanical or inflammatory insults. We report three cases of lipoma arborescens affecting the knee, the first in a young male without previous history of arthritis or trauma, the second in a 58-year-old male associated with osteoarthritis, and the final in a 44-year-old male diagnosed with psoriatic arthritis, which cover the entire pathologic spectrum of this unusual entity. We highlight the clinical findings and imaging features, by emphasizing especially the role of MRI, in the differential diagnosis of other, more complex intra-articular masses.
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institution Kabale University
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language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-8c2e475b93694c01b480e0f11db4d8992025-02-03T05:59:51ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/35695123569512Lipoma Arborescens of the Knee: Report of Three Cases and Review of the LiteratureIoannis Tsifountoudis0Dimitrios Kapoutsis1Anastasios-Nektarios Tzavellas2Ioannis Kalaitzoglou3Apostolos Tsikes4George Gkouvas5Department of Radiology, 424 General Military Hospital, Ring Road N. Efkarpias, 56403 Thessaloniki, GreeceDepartment of Orthopaedics, 424 General Military Hospital, Ring Road N. Efkarpias, 56403 Thessaloniki, GreeceDepartment of Orthopaedics, 424 General Military Hospital, Ring Road N. Efkarpias, 56403 Thessaloniki, GreeceAsclepios Diagnostic Center, 211 A. Papanastasiou Street, 54250 Thessaloniki, GreeceAsclepios Diagnostic Center, 211 A. Papanastasiou Street, 54250 Thessaloniki, GreeceDepartment of Orthopaedics, 424 General Military Hospital, Ring Road N. Efkarpias, 56403 Thessaloniki, GreeceLipoma arborescens is a chronic, slow-growing, intra-articular lesion of benign nature, which is characterized by villous proliferation of the synovium, with replacement of the subsynovial connective tissue by mature fat cells. It usually involves the suprapatellar pouch of the knee joint. It is not a neoplasm but is rather considered a nonspecific reactive response to chronic synovial irritation, due to either mechanical or inflammatory insults. We report three cases of lipoma arborescens affecting the knee, the first in a young male without previous history of arthritis or trauma, the second in a 58-year-old male associated with osteoarthritis, and the final in a 44-year-old male diagnosed with psoriatic arthritis, which cover the entire pathologic spectrum of this unusual entity. We highlight the clinical findings and imaging features, by emphasizing especially the role of MRI, in the differential diagnosis of other, more complex intra-articular masses.http://dx.doi.org/10.1155/2017/3569512
spellingShingle Ioannis Tsifountoudis
Dimitrios Kapoutsis
Anastasios-Nektarios Tzavellas
Ioannis Kalaitzoglou
Apostolos Tsikes
George Gkouvas
Lipoma Arborescens of the Knee: Report of Three Cases and Review of the Literature
Case Reports in Medicine
title Lipoma Arborescens of the Knee: Report of Three Cases and Review of the Literature
title_full Lipoma Arborescens of the Knee: Report of Three Cases and Review of the Literature
title_fullStr Lipoma Arborescens of the Knee: Report of Three Cases and Review of the Literature
title_full_unstemmed Lipoma Arborescens of the Knee: Report of Three Cases and Review of the Literature
title_short Lipoma Arborescens of the Knee: Report of Three Cases and Review of the Literature
title_sort lipoma arborescens of the knee report of three cases and review of the literature
url http://dx.doi.org/10.1155/2017/3569512
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