Abstract
Lipoma arboresan, ender görülen eklem içi selim bir lezyondur. Sinovyal dokunun villöz lipomatöz proliferasyonu ile karakterize olmakla birlikte etiyolojisi bilinmemektedir. Klinik görünümünde ilgili eklemin uzun süreli, ağrısız ve yavaş ilerleyen şişliği söz konusudur. Manyetik rezonans görüntüleme tanıda önemli bir rol oynar. Tanı, ışık mikroskobu eşliğinde yapılan muayenede adipoz doku içeren sinovyal çeper hücreleri ile sinovyal dokuda hipertrofinin teşhisi ile mümkündür. Dizin sinovyal plikası, embriyojenik gelişim döneminde oluşmaktadır ve bu gelişim pek çok hastada tamamlanmamıştır. Devam etmesi durumunda sinovyal plika, suprapatellar veya midpatellar bölge yerleşimli embriyojenik kalıntıya dönüşür.
Bu çalışmamızda, komplet tip suprapatellar plika ile birlikte suprapatellar girintide semptomatik lipoma arboresan görülen ender bir olgu bildiriyoruz.
References
- Kloen P, Keel SB, Chandler HP, Geiger RH, Zarins B, Rosenberg AE. Lipoma arborescens of the knee. J Bone Joint Surg Br 1998;80:298-301. CrossRef
- Karahan OI, Baykara M, Gulec M, Duygulu F. Mediopa- tellar plica limiting lipoma arborescens in the knee joint: MRI findings. European Journal of Radiology Extra 2003;47:55-8. CrossRef
- Haasbeek JF, Alvillar RE. Childhood lipoma arborescens presenting as bilateral suprapatellar masses. J Rheumatol 1999;26:683-6.
- Soler T, Rodríguez E, Bargiela A, Da Riba M. Lipoma ar- borescens of the knee: MR characteristics in 13 joints. J Comput Assist Tomogr 1998;22:605-9. CrossRef
- Boya H, Pinar H, Ozcan O. Synovial osteochondromato- sis of the suprapatellar bursa with an imperforate suprapa- tellar plica. Arthroscopy 2002;18:E17. CrossRef
Abstract
Lipoma arborescens is a rare intra-articular benign lesion. It is characterized by villous lipomatous proliferation of the synovial tissue and its etiology is not certain. Clinical presentation is usually long-standing, painless and slowly progressive swelling of the related joint. Magnetic resonance imaging plays an important role in diagnosis. Diagnosis can be determined by hypertrophied synovial tissue with synovial lining cells containing adipose tissue on examination using a light microscope. The synovial plica of the knee is formed during the embryogenic phase of development. This development is incomplete in many individuals. When the synovial plica of the knee persists, it is transformed into an embryonic relic that is located in either the suprapatellar or midpatellar region of the knee. We present a rare case with both a complete type of suprapatellar plica and a symptomatic lipoma arborescens in the suprapatellar recess.
References
- Kloen P, Keel SB, Chandler HP, Geiger RH, Zarins B, Rosenberg AE. Lipoma arborescens of the knee. J Bone Joint Surg Br 1998;80:298-301. CrossRef
- Karahan OI, Baykara M, Gulec M, Duygulu F. Mediopa- tellar plica limiting lipoma arborescens in the knee joint: MRI findings. European Journal of Radiology Extra 2003;47:55-8. CrossRef
- Haasbeek JF, Alvillar RE. Childhood lipoma arborescens presenting as bilateral suprapatellar masses. J Rheumatol 1999;26:683-6.
- Soler T, Rodríguez E, Bargiela A, Da Riba M. Lipoma ar- borescens of the knee: MR characteristics in 13 joints. J Comput Assist Tomogr 1998;22:605-9. CrossRef
- Boya H, Pinar H, Ozcan O. Synovial osteochondromato- sis of the suprapatellar bursa with an imperforate suprapa- tellar plica. Arthroscopy 2002;18:E17. CrossRef
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | January 16, 2015 |
| Published in Issue | Year 2014 Volume: 48 Issue: 6 |