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The traumatic pseudolipoma
The Australian and New Zealand Journal of Surgery
|December 1, 1977
Summary
A contour deformity resembling lipoma can occur after thigh or hip injuries in young women. Conservative treatments like massage and steroid injections are more effective than surgery for this scar-related condition.
Area of Science:
- Plastic Surgery
- Dermatology
- Trauma Medicine
Background:
- Severe shearing injuries to the upper thigh, hip, or sacrum can lead to contour deformities.
- These deformities often present after initial injury management, once a deep scar has contracted.
- The condition is frequently observed in young women and clinically resembles a large lipoma.
Observation:
- The contour deformity typically manifests weeks after the initial injury.
- Delayed presentation is common due to the injury rarely being addressed promptly.
- Scar contraction plays a significant role in the development of the visible deformity.
Findings:
- Active surgical intervention at this stage can exacerbate the aesthetic concerns.
- Conservative management, including massage and pressure, shows promise.
- Injection of steroids is also suggested as an effective conservative approach.
Implications:
- This previously undescribed condition requires a shift in treatment approach.
- Conservative methods are recommended over surgical intervention for aesthetic improvement.
- Early recognition and appropriate conservative care may prevent worsening of the deformity.