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Lipoma arborescens of the knee

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Knee joint pain and swelling of few months duration

Patient Data

Age: 70 years

Frond like fatty projections are seen involving the suprapatellar bursa which is distended by joint effusion. Tricompartmental osteoarthritis changes evident by cartilage denudation, subchondral degenerative changes

Partial severe ACL tear, ACL ganglion cyst, buckled PCL and synovial cyst surrounding the popliteus tendon contains loose body are other findings.

Case Discussion

Diagnosis: Lipoma arborescens and degenerative joint disease

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