Mestiri M, Kooli M, Charfi F, Ezzaouia K, Robbana A, Zlitni M
Service d'Orthopédie-Traumatologie, Hôpital Charles Nicolle, Tunis, Tunisie.
Rev Chir Orthop Reparatrice Appar Mot. 1996;82(4):340-3.
The authors report a case of a synovial lipoma of the knee in a 40 years old man who suffered from chronic instability of the right knee associated to an extensive joint swelling and recurrent hydarthrosis. Ultrasonography and arthrography showed a synovial process and the computerized tomography showed an inhomogeneous low density due to its fat content suggesting a synovial lipoma arborescens of the knee. Final diagnosis was confirmed by histological examination of the arthroscopic biopsy. The authors discuss, through out their case and a review of the literature, modern investigation findings and indication for surgical treatment of this disease.
作者报告了一例40岁男性膝关节滑膜脂肪瘤病例，该患者右膝关节慢性不稳定，伴有广泛的关节肿胀和反复关节积液。超声检查和关节造影显示为滑膜病变，计算机断层扫描显示因其脂肪成分呈不均匀低密度，提示为膝关节滑膜树状脂肪瘤。关节镜活检的组织学检查证实了最终诊断。作者通过该病例及文献回顾，讨论了这种疾病的现代检查结果及手术治疗指征。
