Lipohaemarthrosis


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Lipohaemarthrosis,
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the presence of fat droplets, blood and bone marrow spicules in the synovial fluid, usually indicative of an intra-articular fracture. Lipohaemarthrosis may also be seen in patients without fracture, however; in such cases the condition is presumably attributable to significant injury to cartilage or ligaments.

In cases of lipohaemarthrosis, radiographs obtained using horizontal beam technique may reveal a fat blood fluid level after a joint injury (Fig.1). The transaxial images provided by CT also demonstrate lipohaemarthrosis as a fat blood fluid level (Fig.2), but MR imaging is probably the most sensitive method in detecting this entity (Fig.3).


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The Encyclopaedia of Medical Imaging Volume III 1
Lipohaemarthrosis, Fig. 1
Lateral radiograph of the knee demonstrates a fat-fluid level in a patient with a radiographically occult proximal tibia fracture.
Lipohaemarthrosis, Fig. 2
Axial CT of the pelvis shows posterior dislocation of the left hip and a lipohaemarthrosis in the affected hip joint.
Lipohaemarthrosis, Fig. 3
Coronal fat-suppressed proton-density-weighted (a) and sagittal T2-weighted (b) MR images of the knee reveal rounded globules of fat in the nondependant portion of the joint after a tibial plateau fracture (not shown). (Courtesy of Dexter Witte, MD, Memphis, TN)