Primary lipoma arborescens of the knee may involve the development of early osteoarthritis if prompt synovectomy is not performed
Natera, Luis Gerardo (Institut d'Investigació Biomèdica Sant Pau)
Gelber Ghertner, Pablo Eduardo. (Hospital Universitari Dexeus (Barcelona, Catalunya))
Erquicia, Juan Ignacio (Hospital Universitari Dexeus (Barcelona, Catalunya))
Monllau, Juan Carlos (Hospital Universitari Dexeus (Barcelona, Catalunya))
Universitat Autònoma de Barcelona

Fecha:	2014
Resumen:	Primary 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. A 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. At 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. In 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.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Lipoma ; Arborescens ; Knee ; Osteoarthritis ; Synovectomy
Publicado en:	Journal of orthopaedics and traumatology, Vol. 16 (may 2014) , p. 47-53, ISSN 1590-9999

DOI: 10.1007/s10195-014-0295-x
PMID: 24796311

7 p, 1.8 MB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut de Recerca Sant Pau
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