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청소년에서 양측 슬관절에 발생한 수지상 지방종

Bilateral Lipoma Arborescens of the Knee in an Adolescent Patient

대한정형외과학회지 2020년 55권 4호 p.354 ~ 358
김희준, 김정우, 이현주, 경희수,
소속 상세정보
김희준 ( Kim Hee-June ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Orthopedic Surgery
김정우 ( Kim Jeong-Woo ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Orthopedic Surgery
이현주 ( Lee Hyun-Joo ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Orthopedic Surgery
경희수 ( Kyung Hee-Soo ) - Kyungpook National University School of Medicine Kyungpook National University Hospital Department of Orthopedic Surgery

Abstract

수지상 지방종은 관절에 부종과 통증을 일으키는 매우 드문 질환이다. 수지상 지방종은 주로 편측 슬관절에 나타나고 양측으로 나타나는 경우는 극히 드물다. 또한 성인에 더 많이 나타나며 청소년기에는 극히 드문 것으로 알려져있다. 저자들은 양측 슬관절에 부종과 통증을 주소로 내원한 14세 환아에서 수지상 지방종을 경험을 하였고 이에 대한 진단과 치료에 대해 보고하고자 한다.

Lipoma arborescens (LA) is a rare lesion that causes joint effusion and pain. LA usually presents as a unilateral knee lesion, and bilateral lesions are extremely rare. LA among adolescent patients is also extremely rare with the disorder having a much higher incidence among adults. This paper reports a 14-year-old boy who was treated for bilateral knee LA. X-rays revealed the characteristic features of LA in both knees, and arthroscopic synovectomy was performed to resect the lesions. Postoperative recovery progressed smoothly, and the patient was eventually relieved of pain and swelling. LA should be considered when adolescent patients present with bilateral pain and swelling, even though this condition is rare in this age group. Furthermore, surgical synovectomy for a complete resection is an appropriate treatment option.

키워드

슬관절; 활액막; 관절경
knee; synovial membrane; arthroscopy

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