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Lipoma Arborescens in the Hip Joint - A Case Report -

고관절의 수지상 지방종 - 1예 보고 -

  • Park, Jai-Hyung (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Kim, Hyung-Soo (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Chung, Soo-Tae (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Yoo, Jeong-Hyun (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Kim, Joo-Hak (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Cha, Seung-Do (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University) ;
  • Jung, Jin-Ha (Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University)
  • 박재형 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 김형수 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 정수태 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 유정현 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 김주학 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 차승도 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 정진하 (관동대학교 의과대학 명지병원 정형외과학교실)
  • Published : 2011.03.31

Abstract

Lipoma arborescens is a very rare disease in which adipocytes form a synovial villous lipoma. In addition, it has the potential for dysplastic proliferation. Hypertrophic synovial lipoma is stimulated by movement of joints, which results in joint pain, effusion, limitation of joint movement and swelling. A definite cause has not yet been proven, but trauma, rheumatic arthritis, inflammation and degenerative change are believed to be possible causes. There have been reports of lipoma arborescens in several joints, including the knee joint and elbow joint. However, it is very rare to find this disease in hip joints. In fact, only one such case has been reported in Korea. We report here on a rare case of lipoma arborescens in the hip joint along with a review of the relevant literature.

수지상 지방종(Lipoma arborescens)은 관절낭에서 지방 세포가 활액막의 융모상 지방종을 이루며 이형 증식하는 질환으로 매우 희귀한 질환이다. 비후된 활액막성 지방종이 관절의 움직임에 따라 자극되어 관절의 동통, 삼출, 관절 운동의 제한 및 종창등의 증상을 일으키며 발생 원인으로는 외상, 류마티스 관절염, 염증, 퇴행성 변화 등이 알려져 있으나 명확한 원인은 아직 판명되지 않았다. 대부분의 수지상 지방종은 슬관절 및 주관절등 여러 관절에서의 발생이 보고되고 있으나 고관절에서의 수지상 지방종은 드물어 국내에서는 1예 정도만 보고되고 있다. 저자들은 고관절에 발생한 수지상 지방종 환자 1예를 치료하였기에 문헌고찰과 함께 보고한다.

Keywords

References

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