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
3   Department of Orthopedics, Southport and Ormskirk Hospital, Southport, United Kingdom
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.


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.

Publication History

Article published online:
23 February 2024

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