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The traumatic pseudolipoma.

L Rozner, G W Isaacs

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.

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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.

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