Download PDF
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.
› Further Information
Also available at
   Permissions and Reprints

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/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Bankaoglu M, Ugurlar OY, Ugurlar M, Sonmez MM, Eren OT. Intra-articular lipoma of the knee joint located in the posterior compartment: a rare location. North Clin Istanb 2016; 4 (01) 89-92
    PubMedGoogle Scholar
  • 2 Burt AM, Huang BK. Imaging review of lipomatous musculoskeletal lesions. SICOT J 2017; 3: 34
    CrossrefPubMedGoogle Scholar
  • 3 Pevny T, Rayan GM, Egle D. Ligamentous and tendinous support of the pisiform, anatomic and biomechanical study. J Hand Surg Am 1995; 20 (02) 299-304
    CrossrefPubMedGoogle Scholar
  • 4 Moraux A, Lefebvre G, Pansini V. et al. Pisotriquetral joint disorders: an under-recognized cause of ulnar side wrist pain. Skeletal Radiol 2014; 43 (06) 761-773
    CrossrefPubMedGoogle Scholar
  • 5 Paunipagar BK, Griffith JF, Rasalkar DD, Chow LT, Kumta SM, Ahuja A. Ultrasound features of deep-seated lipomas. Insights Imaging 2010; 1 (03) 149-153
    CrossrefPubMedGoogle Scholar
  • 6 Kransdorf MJ, Bancroft LW, Peterson JJ, Murphey MD, Foster WC, Temple HT. Imaging of fatty tumors: distinction of lipoma and well-differentiated liposarcoma. Radiology 2002; 224 (01) 99-104
    CrossrefPubMedGoogle Scholar
  • 7 Seror P, Vuillemin V. Ulnar nerve lesion at the wrist related to pisotriquetral joint arthropathy. Muscle Nerve 2013; 47 (04) 600-604
    CrossrefPubMedGoogle Scholar
  • 8 AbuMoussa S, Roshan MP, Souza FF. et al. Soft tissue masses of the hand: a review of clinical presentation and imaging features. Curr Oncol 2023; 30 (02) 2032-2048
    CrossrefPubMedGoogle Scholar