Subacromial Impingement Syndrome Caused by a Voluminous Subdeltoid Lipoma
Subacromial impingement syndrome is a clinical diagnosis encompassing a spectrum of possible etiologies, including subacromial bursitis, rotator cuff tendinopathy, and partial- to full-thickness rotator cuff tears. This report presents an unusual case of subdeltoid lipoma causing extrinsic compressi...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/760219 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832554693214076928 |
|---|---|
| author | Jean-Christophe Murray Stéphane Pelet |
| author_facet | Jean-Christophe Murray Stéphane Pelet |
| author_sort | Jean-Christophe Murray |
| collection | DOAJ |
| description | Subacromial impingement syndrome is a clinical diagnosis encompassing a spectrum of possible etiologies, including subacromial bursitis, rotator cuff tendinopathy, and partial- to full-thickness rotator cuff tears. This report presents an unusual case of subdeltoid lipoma causing extrinsic compression and subacromial impingement syndrome. The patient, a 60-year-old man, presented to our institution with a few years' history of nontraumatic, posteriorly localized throbbing pain in his right shoulder. Despite a well-followed 6-months physiotherapy program, the patient was still suffering from his right shoulder. The MRI scan revealed a well-circumscribed 6 cm × 2 cm × 5 cm homogenous lesion compatible with a subdeltoid intermuscular lipoma. The mass was excised en bloc, and subsequent histopathologic examination confirmed a benign lipoma. At 6-months follow-up, the patient was asymptomatic with a complete return to his activities. Based on this case and a review of the literature, a subacromial lipoma has to be included in the differential diagnosis of a subacromial impingement syndrome refractory to nonoperative treatment. Complementary imaging modalities are required only after a failed conservative management to assess the exact etiology and successfully direct the surgical treatment. |
| format | Article |
| id | doaj-art-2c79e842523a4f6a9918c900a2a9f298 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-2c79e842523a4f6a9918c900a2a9f2982025-02-03T05:50:50ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/760219760219Subacromial Impingement Syndrome Caused by a Voluminous Subdeltoid LipomaJean-Christophe Murray0Stéphane Pelet1Division of Orthopaedic Surgery, CHU de Québec—Enfant-Jésus Hospital, 1401 18th Street, Québec, QC, G1J 1Z4, CanadaDivision of Orthopaedic Surgery, CHU de Québec—Enfant-Jésus Hospital, 1401 18th Street, Québec, QC, G1J 1Z4, CanadaSubacromial impingement syndrome is a clinical diagnosis encompassing a spectrum of possible etiologies, including subacromial bursitis, rotator cuff tendinopathy, and partial- to full-thickness rotator cuff tears. This report presents an unusual case of subdeltoid lipoma causing extrinsic compression and subacromial impingement syndrome. The patient, a 60-year-old man, presented to our institution with a few years' history of nontraumatic, posteriorly localized throbbing pain in his right shoulder. Despite a well-followed 6-months physiotherapy program, the patient was still suffering from his right shoulder. The MRI scan revealed a well-circumscribed 6 cm × 2 cm × 5 cm homogenous lesion compatible with a subdeltoid intermuscular lipoma. The mass was excised en bloc, and subsequent histopathologic examination confirmed a benign lipoma. At 6-months follow-up, the patient was asymptomatic with a complete return to his activities. Based on this case and a review of the literature, a subacromial lipoma has to be included in the differential diagnosis of a subacromial impingement syndrome refractory to nonoperative treatment. Complementary imaging modalities are required only after a failed conservative management to assess the exact etiology and successfully direct the surgical treatment.http://dx.doi.org/10.1155/2014/760219 |
| spellingShingle | Jean-Christophe Murray Stéphane Pelet Subacromial Impingement Syndrome Caused by a Voluminous Subdeltoid Lipoma Case Reports in Orthopedics |
| title | Subacromial Impingement Syndrome Caused by a Voluminous Subdeltoid Lipoma |
| title_full | Subacromial Impingement Syndrome Caused by a Voluminous Subdeltoid Lipoma |
| title_fullStr | Subacromial Impingement Syndrome Caused by a Voluminous Subdeltoid Lipoma |
| title_full_unstemmed | Subacromial Impingement Syndrome Caused by a Voluminous Subdeltoid Lipoma |
| title_short | Subacromial Impingement Syndrome Caused by a Voluminous Subdeltoid Lipoma |
| title_sort | subacromial impingement syndrome caused by a voluminous subdeltoid lipoma |
| url | http://dx.doi.org/10.1155/2014/760219 |
| work_keys_str_mv | AT jeanchristophemurray subacromialimpingementsyndromecausedbyavoluminoussubdeltoidlipoma AT stephanepelet subacromialimpingementsyndromecausedbyavoluminoussubdeltoidlipoma |