Abstract

Review Article

The blubbery protrusions: Lipoma arborescens

Anubha Bajaj*

Published: 15 December, 2020 | Volume 4 - Issue 1 | Pages: 009-013

Preface

Lipoma arborescens is an exceptional condition comprised of frond-like excrescences of mature adipose tissue. The condition was originally described by Albert Hoffa in 1904 with characteristic morphology of macroscopic, villous, frond- like excrescences recapitulating a tree-like appearance, as denominated by the term “arborescens” [1]. Lipoma arborescens is additionally designated as “diffuse articular lipomatosis”, “villous lipomatous proliferation of synovial membrane” or “diffuse lipoma of joint”. The essentially benign condition appears within large joints and typically exhibits adipose tissue infiltration of sub-synovial connective tissue. Synovial sheaths of tendons are infrequently incriminated [1,2].

Read Full Article HTML DOI: 10.29328/journal.adr.1001011 Cite this Article Read Full Article PDF

References

  1. Hoffa A. The influence of adipose tissue with regard to the pathology of the knee joint. J Am Med Association. 1904; 43: 795-796.
  2. Arzimanoglu A. Bilateral arborescent lipoma of the knee. J Bone Joint Surg Am. 1957; 39: 976-979. PubMed: https://pubmed.ncbi.nlm.nih.gov/13438955/
  3. Schubert T, Navez M, Galant C, Docquier PL, Acid S, et al. Femoral osteochondroma responsible for ischiofemoral impingement, bursitis and secondary lipoma arborescens mimicking malignant transformation. Acta Radiol Open. 2019; 8: 2058460119892409. PubMed: https://pubmed.ncbi.nlm.nih.gov/31903223/
  4. Sanamandra SK, Ong KO. Lipoma arborescens. Singapore Med J. 2014; 55: 5-10. PubMed: https://pubmed.ncbi.nlm.nih.gov/24452971/
  5. Theermann R, Ohlmeier M, Hartwig CH, Wolff M, Krenn V, et al. Lipoma arborescens - Uncommon Diagnosis for Joint Swelling: Case Report and Review of the Literature. Z Orthop Unfall. 2020; 158: 618-624. PubMed: https://pubmed.ncbi.nlm.nih.gov/31746441/
  6. Batu ED, Sonmez HE, et al. Lipoma Arborescens Associated With Psoriatic Arthritis in an Adolescent Boy: A Case Report and Review of the Literature. J Clin Rheumatol. 2020; 26: e47-e49. PubMed: https://pubmed.ncbi.nlm.nih.gov/31746441/
  7. Kord Valeshabad A, De La Vara D, Shamim E, Alsadi A, et al. Lipoma arborescens of the bicipitoradial bursa. Skeletal Radiol. 2018; 47: 549-551. PubMed: https://pubmed.ncbi.nlm.nih.gov/29079872/
  8. Howe BM, Wenger DE. Lipoma arborescens –comparison of typical and atypical disease presentation. Clin Radiol. 2013; 68: 1220-1226. PubMed: https://pubmed.ncbi.nlm.nih.gov/23969149/
  9. Hamanishi M, Yasunaga Y, Yamasaki T, Mori R, Shoji T, et al. Lipoma arborescens of the hip-a case report. J Orthop Sci. 2020; 25: 188-192. PubMed: https://pubmed.ncbi.nlm.nih.gov/28688812/
  10. Kim RS, Kim YT, Choi JM, Shin SH, Kim YJ, et al. Lipoma arborescens associated with osseous /chondroid differentiation in subdeltoid burs. Int J Shoulder Surg. 2013; 7: 116-119. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3807946/
  11. Natera L, Gelber PE, Erquicia JI, Monllau JC. Primary lipoma arborescens of the knee may involve the development of early osteoarthritis if prompt synovectomy is not performed. J Orthop Traumatol. 2015; 16: 47-53. PubMed: https://pubmed.ncbi.nlm.nih.gov/24796311/

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