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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2024; 34(03): 558-561
DOI: 10.1055/s-0044-1779521
Case Report

Intra-articular Lipoma of the Pisotriquetral Joint: A Rare Case Report

Sindhura Mettu
1   Department of Radiology, PACE Hospital, Hyderabad, Telangana, India
,
Sai Niharika Gavvala
2   Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, United Kingdom
,
K. Shirodkar
2   Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, United Kingdom
,
Karthikeyan Parthasarathy Iyengar 
3   Department of Orthopedics, Southport and Ormskirk Hospital, Southport, United Kingdom
,
Vijay Ram Kumar Papineni 
4   Department of Radiology, Sheikh Shakhbout Medical City (Mayo Clinic), Abu Dhabi, United Arab Emirates
,
Rajesh Botchu
2   Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, United Kingdom
› Author Affiliations Funding None.
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Abstract

Intra-articular lipomas are infrequently reported, with most reported cases occurring in the knee joint. A case of intra-articular lipoma in the small joints of the hand, specifically in the pisotriquetral joint, has been documented for the first time. A 24-year-old male visited the emergency department after a road traffic accident with a painful and swollen wrist. Radiographic examination revealed fractures of the distal radius and triquetrum. A subsequent wrist computed tomography scan identified an intra-articular lipoma within the pisotriquetral joint, further confirmed by ultrasonography. This article underscores the importance of recognizing that, though exceedingly rare, intra-articular lipomas should be considered in the differential diagnosis of soft-tissue tumors affecting the hand and wrist.

Keywords

lipoma - intra-articular - wrist - pisotriquetral - musculoskeletal - ultrasonography - CT


Publication History

Article published online:
23 February 2024

© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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