Total Shoulder Arthroplasty in a 32-year-old Female with Fibrolipoma: A Case Report

Fibrolipomas are rare benign soft-tissue tumours composed of mature adipose and fibrous tissue. Their presence in the shoulder joint is exceptionally uncommon. A 32-year-old female presented with progressive right shoulder pain and restricted motion for one year. Imaging and histopathology confirmed the diagnosis of fibrolipoma with joint surface destruction. The patient underwent surgical excision followed by Total Shoulder Arthroplasty (TSA). Postoperative recovery was uneventful, with marked improvement in pain relief and range of motion at the six-month follow-up. This case highlights that although fibrolipomas are benign, they can cause significant articular degeneration, potentially requiring arthroplasty. Accurate diagnosis, preoperative planning, and careful surgical execution are crucial for achieving excellent outcomes in young patients.