Arthroscopic treatment of a lipoma arborescens of the elbow: A case report. Issue 50 (11th December 2020)

• Record Type: Journal Article
• Authors: Paccaud, Joris; Cunningham, Gregory
• Other Names: Saranathan. Maya section editor.
• Is Part Of: Medicine. Volume 99:Issue 50(2020)
• Publication Date: 2020-12-11
• Subjects: arthroscopic treatment -- elbow -- elbow arthroscopy -- humeroulnar impingement -- lipoma arborescens; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000023595
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Introduction: Lipoma Arborescens is a rare pathology that mainly affects the knee. Occurrences in the elbow are even more uncommon and mainly involve the bicipitoradial bursa. Case's description: We describe the case of a 54-year-old patient known for rheumatoid arthritis, who consulted for chronic elbow pain associated with swelling and limited extension. Diagnosis: The diagnosis of a lipoma arborescens of the elbow involving the whole joint was made using magnetic resonance imaging and confirmed during arthroscopy. Interventions: After a failed nonoperative treatment consisting in intra-articular cortisone injections and physiotherapy, the patient underwent arthroscopic synovectomy and arthrolysis. Outcome: At 1-year follow-up, he reported no pain, satisfactory range of motion, and major improvements in clinical scores. Conclusion: This is the first illustrated case report about lipoma arborescens involving the whole elbow joint. Even though it is a rare disease, awareness of its presentation, imaging patterns, and treatment options is therefore important for clinicians, radiologists, and surgeons. In this case, arthroscopic treatment resulted in satisfactory and long-lasting pain relief and functional results. It may be considered as a safe and effective option in case of failed nonoperative measures. Abstract : Supplemental Digital Content is available in the text