| Lipoma arborescens of the suprapatellar bursa and extensor digitorum longus tendon sheath: report of 2 cases. | |
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MedLine Citation:
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PMID: 17901145 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Lipoma arborescens (diffuse articular lipomatosis) is a rare intra-articular lesion consisting of subsynovial villous proliferation of mature fat cells. The usual clinical presentation is painless swelling. The aim of this series was to emphasize the importance of gray scale and color Doppler sonography through the investigation of chronic joint swelling. METHODS: Lipoma arborescens of the knee and extensor digitorum longus tendon sheath at the ankle region are described. The latter is extremely rare. We examined 2 patients with sonography before using cross-sectional modalities. RESULTS: Gray scale sonography revealed hyperechoic irregular villous and frondlike projections within prominent joint effusion. A wavelike motion of the projections was shown by dynamic compression and manipulation of the effusion. We observed moderate vascularity on color Doppler sonography. Spectral analysis revealed a low-resistance arterial waveform. CONCLUSIONS: Gray scale sonography is a useful diagnostic modality that can be performed to evaluate chronic joint swelling before the use of cross-sectional and more expensive modalities. |
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Authors:
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Efsun Senocak; Kamil Gurel; Safiye Gurel; Kutay Engin Ozturan; Husamettin Cakici; Fahri Yilmaz; Cetin Boran |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine Volume: 26 ISSN: 0278-4297 ISO Abbreviation: J Ultrasound Med Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-09-28 Completed Date: 2008-01-07 Revised Date: 2010-03-11 |
Medline Journal Info:
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Nlm Unique ID: 8211547 Medline TA: J Ultrasound Med Country: United States |
Other Details:
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Languages: eng Pagination: 1427-33 Citation Subset: IM |
Affiliation:
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Department of Radiology, Abant Izzet Baysal University, Izzet Baysal School of Medicine, 14280 G?lk?y, Bolu, Turkey. eurger@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Aged Ankle Joint / pathology, ultrasonography* Bursa, Synovial / pathology, ultrasonography* Chronic Disease Female Humans Knee Joint / pathology, ultrasonography* Lipoma / pathology, ultrasonography* Male Tendons / pathology, ultrasonography* Tomography, X-Ray Computed Ultrasonography, Doppler, Color |
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