Lipoma of tendon sheath
Swelling of the left hand of long duration, nowadays the patient started to complain of parathesia of the lateral three fingers
Loading Stack -
0 images remaining
Well defined capsulated mass attached to the superficial and deep flexor digitorum tendon of the index finger. It exhibits bright signal in T1 and T2 followed by suppression in STIR.
Diagnosis: Lipoma of tendon sheath (Pathologically proved)
Lipoma of tendon sheath and synovial lining may present as frond like fatty projection or discrete mass. This is a rare case of tendon sheath lipoma, the patient had this swelling of long duration and came now because he started to feel parathesia of the lateral fingers.
On examination the swelling was slippery and soft and no skin discoloration. During operation the mass was adherent to the tendon and difficult to dissect.
- Murphey MD, Carroll JF, Flemming DJ et-al. From the archives of the AFIP: benign musculoskeletal lipomatous lesions. Radiographics. 2004;24 (5): 1433-66. Radiographics (full text) - doi:10.1148/rg.245045120 - Pubmed citation
- Wu JS, Hochman MG. Soft-tissue tumors and tumorlike lesions: a systematic imaging approach. Radiology. 2009;253 (2): 297-316. Radiology (full text) - doi:10.1148/radiol.2532081199 - Pubmed citation
- Teh J, Whiteley G. MRI of soft tissue masses of the hand and wrist. Br J Radiol. 2007;80 (949): 47-63. Br J Radiol (full text) - doi:10.1259/bjr/53596176 - Pubmed citation
- Kremchek TE, Kremchek EJ. Carpal tunnel syndrome caused by flexor tendon sheath lipoma. Orthop Rev. 1989;17 (11): 1083-5. Pubmed citation