CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2008; 18(04): 298-301
DOI: 10.4103/0971-3026.43844
Musculoskeletal Radiology

Case Report: Macrodystrophia lipomatosa - Illustration of two cases

V Singla
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
V Virmani
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
P Tuli
Department of Plastic surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
P Singh
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
N Khandelwal
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Macrodystrophia lipomatosa is a rare cause of congenital macrodactyly, characterized by progressive proliferation of all mesenchymal elements, with a disproportionate increase in fibroadipose tissue. This developmental anomaly is reportedly more common in the foot than in the hand, with a predilection for the plantar and median nerve distribution. We present two cases of MDL of the hand, one of which had an unusual nerve territory distribution, making clinical diagnosis difficult. Preoperative diagnosis was however made on the basis of radiography and MRI and was later confirmed on surgery.



Publication History

Article published online:
31 July 2021

© 2008. 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 Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Silverman TA, Enzinger FM. Fibrolipomatous hamartoma of nerve: A clinicopathologic analysis of 26 cases. Am J Surg Pathol 1985;9:7-14.
  • 2 Feriz H. Makrodystrophia Lipomatosa progressiva. Virchows Arch 1925;260:308-68.
  • 3 Gupta SK, Sharma OP, Sharma SV, Sood B, Gupta S. Macrodystrophia lipomatosa: Radiographic observations. Br J Radiol 1992;65:769-73.
  • 4 Goldman AB, Kaye JJ. Macrodystrophia lipomatosa: Radiographic diagnosis. AJR Am J Roentgenol 1977;128:101-5.
  • 5 Ozturk A, Baktiroglu L, Ozturk E, Yazgan P. Macrodystrophia lipomatosia: A case report. Acta Orthop Traumatol Turc 2004;38:220-3.
  • 6 D′Costa H, Hunter JD, O′Sullivan G, O′Keefe D, Jenkins JP, Hughes PM. Magnetic resonance imaging in macromelia and macrodactyly. Br J Radiol 1996;69:502-7.
  • 7 Sone M, Ehara S, Tamakawa Y, Nishida J, Honjoh S. Macrodystrophia lipomatosa: CT and MR findings. Radiat Med 2000;18:129-32.
  • 8 Brodwater BK, Major NM, Goldner RD, Layfield LJ. Macrodystrophia lipomatosa with associated fibrolipomatous hamartoma of the median nerve. Pediatr Surg Int 2000;16:216-8.
  • 9 Curry NS, Schabel SI, Kenper JT. Computed tomography diagnosis of macrodystrophia lipomatosa. J Comput Tomogr 1988;12:295-7.
  • 10 Boren WL, Henry RE Jr, Wintch K. MR diagnosis of fibrolipomatous hamartoma of nerve: association with nerve territory-oriented macrodactyly (macrodystrophia lipomatosa). Skeletal Radiol 1995;24:296-7.
  • 11 Cavallaro MC, Taylor JA, Gorman JD, Haghighi P, Resnick D. Imaging findings in a patient with fibrolipomatous hamartoma of the median nerve. AJR Am J Roentgenol 1993;161:837-8.