Lipomas are common benign soft tissue tumors, well capsulated, mostly resectable and occuring practically anywhere. Lipomas account for almost 50%of all soft tissue tumors and affect 1% of the general population, incidence peak being 40-60 years. They are classfied as many histological types based on various lipomatous tissue subtypes. They may be grossly classified by location, ie, superficial and deep lipomas. Deep lipomas may be intramuscular or intermuscular.
Intramuscular lipoma is an unusual and rare entity. They can be well circumscribed or infiltrative.
What is even more unsusual is the patients presentation, in this case, she presented with restricted abduction at shoulder, also on internal rotation and flexion, there was a well defined bulge at the anterior soft tissues which disappeared on neutral positioning : typically attributable to the flexion of the anterior fibres of deltoid underlying which the lipoma was seated.