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Lipoma in the subscapular space combined with a massive rotator cuff tear: a case report and literature review
Arthrosc Orthop Sports Med 2019;6:42-45
Published online November 1, 2019;
© 2019 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Jae-Sung Yoo, Seok-Won Yang, Jong-Heon Yang, Joong-Bae Seo

Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea
Correspondence to: Joong-Bae Seo,
Department of Orthopaedic Surgery, Dankook University College of Medicine, 119 Dandae-ro, Dongnam-gu, Cheonan 31116, Korea. Tel: +82-41-550-3060, Fax: +82-41-556-0551, E-mail:
Received June 13, 2019; Revised August 11, 2019; Accepted August 11, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Here, we report the case of a 57-year-old female who had a lipoma in the subscapular space combined with a massive rotator cuff tear. To the best of our knowledge, lipomas in the subscapular space combined with a massive rotator cuff tear have not been reported previously. Tumor resection was performed through a medial approach. After tumor resection, arthroscopic in situ superior capsule reconstruction was performed using the long head of the biceps tendon with rotator cuff repair. The patient recovered well over postoperative 6 months and resumed activities of daily living and work without pain. Follow-up sonography performed at postoperative 6 months showed healed supraspinatus and infraspinatus muscles without retear.
Keywords : Lipoma; Rotator cuff
  1. Lenza M, Lenza MV, Carrerra Eda F, Ferretti M. Subdeltoid lipoma causing shoulder impingement syndrome - a case report. Einstein (Sao Paulo) 2014;12:351-4.
    Pubmed KoreaMed CrossRef
  2. Kransdorf MJ. Benign soft-tissue tumors in a large referral population:distribution of specific diagnoses by age, sex, and location. AJR Am J Roentgenol 1995;164:395-402.
    Pubmed CrossRef
  3. Greenhalgh J, Whan A, Page RS. Combined arthroscopic and open operative management of an intramuscular supraspinatus lipoma in the treatment of subacromial impingement syndrome:a case report. Int J Surg Case Rep 2018;51:147-9.
    Pubmed KoreaMed CrossRef
  4. Pagán Conesa A, Aznar CV, Herrera MR, Lopez-Prats FA. Arthroscopic marginal resection of a lipoma of the supraspinatus muscle in the subacromial space. Arthrosc Tech 2015;4:e371-4.
    Pubmed KoreaMed CrossRef
  5. Relwani J, Ogufere W, Orakwe S. Subacromial lipoma causing impingement syndrome of the shoulder: a case report. J Shoulder Elbow Surg 2003;12:202-3.
    Pubmed CrossRef
  6. Kawano Y, Nakamichi N, Matsumura N. Lipoma in the subscapularis muscle causing scapular malposition. Shoulder Elbow 2015;7:268-71.
    Pubmed KoreaMed CrossRef
  7. Balabram D, Cabral CC, Filho Ode P, Barros CP. Intramuscular lipoma of the subscapularis muscle. Sao Paulo Med J 2014;132:65-7.
    Pubmed CrossRef
  8. Kim YS, Lee HJ, Park I, Sung GY, Kim DJ, Kim JH. Arthroscopic in situ superior capsular reconstruction using the long head of the biceps tendon. Arthrosc Tech 2018;7:e97-103.
    Pubmed KoreaMed CrossRef
  9. Copeland EM, McBride CM. Axillary metastases from unknown primary sites. Ann Surg 1973;178:25-7.
    Pubmed KoreaMed CrossRef
  10. de Andrade JM, Marana HR, Sarmento Filho JM, Murta EF, Velludo MA, Bighetti S. Differential diagnosis of axillary masses. Tumori 1996;82:596-9.
    Pubmed CrossRef
  11. Feigenberg Z, Zer M, Dintsman M. Axillary metastases from an unknown primary source. Isr J Med Sci 1976;12:1153-8.
  12. Pangalis GA, Vassilakopoulos TP, Boussiotis VA, Fessas P. Clinical approach to lymphadenopathy. Semin Oncol 1993;20:570-82.
  13. Murphey MD, Carroll JF, Flemming DJ, Pope TL, Gannon FH, Kransdorf MJ. From the archives of the AFIP: benign musculoskeletal lipomatous lesions. Radiographics 2004;24:1433-66.
    Pubmed CrossRef
  14. Mihata T, McGarry MH, Pirolo JM, Kinoshita M, Lee TQ. Superior capsule reconstruction to restore superior stability in irreparable rotator cuff tears: a biomechanical cadaveric study. Am J Sports Med 2012;40:2248-55.
    Pubmed CrossRef
  15. Mihata T, Lee TQ, Fukunishi K, et al. Return to sports and physical work after arthroscopic superior capsule reconstruction among patients with irreparable rotator cuff tears. Am J Sports Med 2018;46:1077-83.
    Pubmed CrossRef

November 2019, 6 (2)