Lipoma arborescens is a chronic, slow-growing, intra-articular lesion of benign nature, which is characterized by villous proliferation of the synovium, with replacement of the subsynovial connective tissue by mature fat cells. It usually involves the suprapatellar pouch of the knee joint. It is not a neoplasm but is rather considered a nonspecific reactive response to chronic synovial irritati...

Lipoma arborescens is a rare, mainly intra-articular lesion characterized by diffuse replacement of subsynovial tissue mature fat cells. It can be primary or secondary. The secondary type lipoma the more common. associated with an underlying chronic joint inflammation and irritation usually affecting elderly patients. In this paper, we report unusual case to gouty arthritis left knee young male...

Intra-articular synovial lipomas are very rare and only few cases have been reported till now. We are reporting a rare case of a unilateral intra-articular lipoma of osteoarthritic knee joint in a 62 years old male. Patient had two episodes of sudden locking of knee joint, which resolved spontaneously. A plain X-ray showed changes which were suggestive of osteoarthritis. Clinically, patient was...

Lipoma arborescens is a rare intra-articular lesion, characterised by diffuse replacement of the subsynovial tissue by mature fat cells, producing prominent villous transformation of the synovium. The aetiology of this benign condition is unknown. We describe six cases involving the knee, discussing the symptoms, diagnosis and treatment.

To cite: Aswani Y, Anandpara KM, Hira P, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014208293 DESCRIPTION A 27-year-old man presented with painless swelling of the right knee of 4 months’ duration. There was no history of trauma or other joint involvement. The patient’s serum rheumatoid factor was negative. Radiograph of the knee revealed increased lu...

A 76-year-old woman with a longstanding history of right elbow swelling and recurrent joint effusion presented for consultation. There was no history of trauma and conventional radiographs were negative. Computed tomography (CT) and magnetic resonance imaging were performed and showed a frond-like fatty synovial mass and joint effusion. Arthrotomy disclosed a lipoma arborescens of the right elbow.