Intra-articular lipoma is an exceedingly rare diagnosis. There have been le
ss than 15 documented cases of an intra-articular lipoma of the knee joint.
This report presents the first description of an intra-articular knee lipo
ma treated entirely by arthroscopic methods. Preoperative history, examinat
ion, and imaging studies are reviewed. Intraoperative findings, treatment,
and postoperative evaluation are discussed as well. Symptomatic intra-artic
ular lipoma of the knee joint can be successfully treated by arthroscopic r
esection. Differentiating intra-articular lipoma from lipoma arborescens, a
similar but more common condition, is important with regards to optimal tr
eatment.