Bilateral lipoma arborescens of the shoulder: rehabilitation management in outpatient clinic and literature review
DOI:
https://doi.org/10.28957/rcmfr.v31n1a8Keywords:
Lipoma arborescens, shoulder pain, synovitis, omalgia, rehabilitation.Abstract
Arborescent lipomatosis also known as synovial membrane villus proliferation is an entity characterized by diffuse proliferation of villi with replacement of synovial tissue by mature adipocytes. The typical presentation is a monoarticular disease that affects the knee, with a predilection for the suprapatellar bursa, although mono or biarticular involvement of large joints such as hips, ankles, elbows and shoulders is described. Magnetic resonance imaging (MRI) is the imaging method of choice for making the diagnosis. Treatment consists of an open or arthroscopic synovectomy. This study presents a case of arborescent lipoma with simultaneous involvement of the subacromial-subdeltoid bursa, long head of biceps tendon sheath and glenohumeral joint that was associated with a rotator cuff injury evaluated in the High Resolution Shoulder Unit of our Rehabilitation service.
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