Bilateral lipoma arborescens -A proliferative case demonstrating progression in an adolescent male

Garin Gil Hecht; Justin Neal Hopkins; Zachary Christopher Lum; Saba Fatima Ali; Cassandra Alda Lee

doi:10.1016/j.jor.2018.05.022

Bilateral lipoma arborescens -A proliferative case demonstrating progression in an adolescent male

J Orthop. 2018 May 7;15(2):736-740. doi: 10.1016/j.jor.2018.05.022. eCollection 2018 Jun.

Authors

Garin Gil Hecht^{1

2}, Justin Neal Hopkins^{1

2}, Zachary Christopher Lum^{1

2}, Saba Fatima Ali^{3

4}, Cassandra Alda Lee^{1

2}

Affiliations

¹ Department of Orthopaedic Surgery, University of California Davis, United States of America.
² 4860 Y Street, Suite 3800, Sacramento, CA, 95817, United States of America.
³ Department of Pathology and Laboratory Medicine, University of California Davis, United States of America.
⁴ 4400 V Street, Pathology Building, Sacramento, CA, 95817, United States of America.

Abstract

Case: We describe a case of extensive symptomatic bilateral lipoma arborescens of the knee in a 19-year-old man who suffered from recurrent knee effusions for many years. This patient had MRI evidence of progression of disease prior to arthroscopic intervention. He was treated with bilateral complete arthroscopic synovectomies, demonstrating no evidence of cartilage wear.

Conclusion: Lipoma arborescens is a progressive disease. Timely diagnosis and treatment may prevent disease evolution and sequela.

Keywords: Arthroscopic complete synovectomy; Bilateral lipoma arborescens; MRI.