Primary lipoma arborescens of the knee may involve the development of early osteoarthritis if prompt synovectomy is not performedReportar como inadecuado




Primary lipoma arborescens of the knee may involve the development of early osteoarthritis if prompt synovectomy is not performed - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Journal of Orthopaedics and Traumatology

, Volume 16, Issue 1, pp 47–53

First Online: 06 May 2014Received: 27 November 2013Accepted: 02 April 2014

Abstract

BackgroundPrimary lipoma arborescens LA is a rare, benign intra-articular hyperplastic tumor that has been associated with osteoarthritis OA. The aim of this study was to determine whether prompt synovectomy could avoid progressive joint degeneration in cases of primary LA of the knee.

Materials and methodsA review of currently available literature about the disease was carried out. The clinical, histological and radiological records of a series of nine knees with primary LA diagnosed and treated between 2002 and 2012 were retrospectively reviewed. Eight of the knees had histological confirmation of LA and none had evidence of condropathy on the initial magnetic resonance image or degenerative changes at the initial radiographic examination.

ResultsAt the final follow-up no evidence of OA was found in the three knees that underwent synovectomy when symptoms did not last more than 1 year. The five knees in which synovectomy was delayed developed progressive joint degeneration.

ConclusionIn this series, primary LA of the knee involved the development of early osteoarthritis when prompt synovectomy was not performed. Timely synovectomy is strongly recommended, if not mandatory.

Level of evidenceIV.

KeywordsLipoma Arborescens Knee Osteoarthritis Synovectomy  Download fulltext PDF



Autor: Luis Natera - Pablo E. Gelber - Juan I. Erquicia - Juan Carlos Monllau

Fuente: https://link.springer.com/







Documentos relacionados