Synovial Lipomatosis of the Glenohumeral Joint

Beyth, Shaul; Safran, Ori

doi:10.1155/2016/4170923

Cited by 5 publications

(23 citation statements)

References 19 publications

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“…A systematic review on the arthroscopic treatment of LA of the knee revealed a satisfactory short-term outcome [ 15 ]. The present study supports similar findings: patients may benefit from less invasive arthroscopic procedures when feasible, as arthroscopic treatment of shoulder [ 2 , 3 , 28 , 35 , 36 ] and elbow lesions [ 13 ] led to promising short-term outcomes. Although LA was recognized as a clinical entity decades ago, the evidence is scarce and long term outcome data are unavailable.…”

Section: Discussionsupporting

confidence: 90%

“…Soft tissue mass in the subacromial space measuring 2.5 × 1.0 × 0.5 cm Kawashima et al [ 3 ] 1 Shoulder (subdeltoid) Xray: normal Arthroscopic synovectomy and RC repair 9 No Occasional aching, good function MRI: subdeltoid fluid villous projections, full-thickness supraspinatus tear Paccaud and Cunningham [ 13 ] 1 Elbow (intraarticular) Xray: no Arthroscopic synovectomy and posterior humeroulnar decompression 14 No Full ROM. Asymptomatic MRI: large intra-articular multilobulated pseudo-tumoral mass causing posterior humeroulnar impingement with mixed components including lipomatous and synovial fringes Lim et al [ 35 ] 1 Shoulder (subacromial, subdeltoid) Xray: bony spurs in the acromion and greater tuberosity Arthroscopic bursectomy, lipoma excision, acromioplasty, and RC repair 5 No Asymptomatic MRI: Partial-thickness bursal tear of the supraspinatus tendon, subacromial-subdeltoid bursa fluid-distended-fat like nodular projections, greater tuberosity, and lateral acromion osteophytes Beyth and Safran [ 2 ] 1 Shoulder (intraarticular) Xray: Hill Sachs Arthroscopic synovectomy and lipoma e...…”

Section: Resultsmentioning

confidence: 99%

“…The secondary type is more common in the elderlies, and is associated with pathological conditions or lesions causing chronic irritation [ 7 , 12 ]. The knee is the most frequent location of LA [ 1 – 3 ]; however, lesions of the wrist, elbow, shoulder, ankle, and hip joints have been reported [ 2 , 10 , 13 – 16 ]. For LA in the knee, arthroscopic synovectomy demonstrated excellent short-term results and a low rate of recurrence [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Surgical management of upper limb lipoma arborescens: a systematic review

et al. 2022

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Background Lipoma arborescens (LA) is a rare benign synovial tumour characterized by the proliferation of mature adipocytes within the synovial cells. Given its rarity, current evidence is mainly based on case reports and case series, and no guidelines are available. The present study investigated the current surgical management and related outcomes of LA in the upper limb. Methods This systematic review was conducted following the PRISMA guidelines. PubMed, Scopus, and Virtual Health Library were accessed in September 2021. Clinical studies evaluating patients with LA undergoing surgical treatment were considered eligible for this systematic review. Only studies which reported data on LA located in the upper limb with histopathological confirmation were considered. Articles that reported data from nonsurgical management were not considered. Results A total of 21 studies reporting 22 lesions in 21 patients were assessed. The mean age of the patients was 48.48 years (range 22–77). Most studies evaluated the restoration of range of motion and symptom resolution for the functional outcome assessment. Open or arthroscopic excision and synovectomy were the most common surgical procedures for LA. The concomitant lesions were treated in a single-stage procedure. All patients had satisfactory outcomes after open or arthroscopic excision and synovectomy without recurrence at a mean follow-up of 21.14 months (range 2–60). One patient developed postoperative cellulitis (4.55%). Conclusion Open and arthroscopic excision combined with synovectomy should be considered the standard treatment option of upper limb LA. Concomitant pathologies can be addressed in a one-stage procedure. Although LA was recognized as a clinical entity decades ago, there is a lack of evidence based guidelines and long term outcome data are unavailable.

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Section: Discussionsupporting

confidence: 90%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical management of upper limb lipoma arborescens: a systematic review

et al. 2022

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“…Si bien la presentación más usual es una condición monoarticular que afecta a la rodilla, con predilección por la bolsa suprapatelar, en la literatura también encontramos casos clínicos que hacen referencia a otras localizaciones, ya sea con presentación mono o biarticular: cadera, tobillo, codo, muñeca, pie y hombro [4][5][6][7][8] . La bolsa subdeltoidea es una localización poco frecuente del lipoma arborescente y solo se han descrito unos pocos casos en la literatura 8 .…”

Section: Discussionunclassified

Lipoma arborescente bilateral de hombro: manejo de un caso en consulta de rehabilitación y revisión de la literatura

Lorenzo

García-Macero

Bandera

et al. 2021

Rev Col Med Fis Rehab

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La lipomatosis arborescente, también conocida como ‘proliferación de vellosidades de la membrana sinovial’, es una entidad que se caracteriza por la proliferación difusa de vellosidades con reemplazo del tejido sinovial por adipocitos maduros. La presentación típica es una enfermedad monoarticular que afecta a la rodilla, con predilección por la bolsa suprapatelar, aunque también se describe afectación mono o biarticular de articulaciones grandes como las caderas, los tobillos, los codos y los hombros. La resonancia magnética nuclear (RMN) es el método de imagen de elección para hacer el diagnóstico. El tratamiento consiste en practicar sinovectomía, ya sea abierta o artroscópica. En este estudio se presenta un caso de lipoma arborescente con afectación simultánea de la bursa subacromial-subdeltoidea, vaina del tendón de la porción larga del bíceps y articulación glenohumeral, que se asoció a lesión del manguito de los rotadores valorado en la Unidad de Alta Resolución de Hombro de nuestro servicio de rehabilitación.

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“…4 Treatment options include open and arthroscopic synovectomy. [5][6][7][8][9] As it is a rare entity with less than 100 cases reported so far, the clinical, radiological and pathological data available is very limited and varied. 3 The purpose of our study is to contribute to the literature the clinical details (age, gender, clinical presentation), radiological and ORIGINAL ARTICLE histological features of the cases reported at our centre in the last decade and provide a better understanding of this condition to physicians, radiologists and pathologists.…”

Section: Introductionmentioning

confidence: 99%

Synovial Lipomatosis; A Clinicopathological Study of a Rare Entity

Bashir¹,

Hassan²,

Akhtar³

et al. 2019

JIMDC

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Objective: This study was conducted to analyse the clinicopathological and radiological features associated with Synovial lipomatosis.Patients and Methods: Cases diagnosed as Synovial lipomatosis from 2008 to 2018 were retrieved and clinical information and histology were reviewed.Results: Thirteen cases of Synovial lipomatosis were diagnosed between 2008 and 2018. Most common site was knee joint and mean age of presentation was 28.6. About 62% of subjects were males and mostly presented with joint pain and swelling. Two of the subjects had significant history of trauma and disease was bilateral in one of the cases. Microscopically, villous proliferation of synovium with infiltration of mature adipocytes was noted. Focal synovial hyperplasia and inflammatory infiltrate were other findings in some of the cases.Conclusion: Synovial lipomatosis should be considered in the differential diagnosis of joint pain and swelling and should be distinguished from Pigmented villonodular synovitis, Synovial haemangioma and intra-articular synovial lipoma (IASL) using radiological and histological features.

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Synovial Lipomatosis of the Glenohumeral Joint

Cited by 5 publications

References 19 publications

Surgical management of upper limb lipoma arborescens: a systematic review

Surgical management of upper limb lipoma arborescens: a systematic review

Lipoma arborescente bilateral de hombro: manejo de un caso en consulta de rehabilitación y revisión de la literatura

Synovial Lipomatosis; A Clinicopathological Study of a Rare Entity

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