Infrapatellar fat pad syndrome: Difference between revisions
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The underlying mechanism may involve bleeding, inflammation, or insufficient space for the fat pad.<ref name=Hi2014/> Diagnosis may be supported by [[magnetic resonance imaging]] (MRI).<ref name=Hi2014/> |
The underlying mechanism may involve bleeding, inflammation, or insufficient space for the fat pad.<ref name=Hi2014/> This may occur as a result of trauma or surgery to the knee.<ref name=Dra2012>{{cite journal |last1=Dragoo |first1=JL |last2=Johnson |first2=C |last3=McConnell |first3=J |title=Evaluation and treatment of disorders of the infrapatellar fat pad. |journal=Sports medicine (Auckland, N.Z.) |date=1 January 2012 |volume=42 |issue=1 |pages=51-67 |doi=10.2165/11595680-000000000-00000 |pmid=22149697}}</ref> Diagnosis may be supported by [[magnetic resonance imaging]] (MRI).<ref name=Hi2014/> |
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Revision as of 03:03, 11 July 2019
| Infrapatellar fat pad syndrome | |
|---|---|
| Other names | Hoffa's disease |
 | |
| Cross section of the human knee | |
| Symptoms | Pain in the front of the knee[1] |
| Differential diagnosis | Patellar tendinopathy, infrapatellar bursitis[1] |
| Treatment | Steroid injections, surgery[1] |
| Frequency | Relatively common (athletes)[1] |
Infrapatellar fat pad syndrome, also known as Hoffa's disease, is when pain in the front of the knee occurs due to problems with the infrapatellar fat pad.[1] Pain is generally just below the kneecap.[1] Symptoms may worsen if the knee is overly straightened or bent for too long a period.[1] Complications may include an inability to fully straighten the knee.[1]
The underlying mechanism may involve bleeding, inflammation, or insufficient space for the fat pad.[1] This may occur as a result of trauma or surgery to the knee.[2] Diagnosis may be supported by magnetic resonance imaging (MRI).[1]
Treatment is generally by steroid injections.[1] If this is not effective surgery removal may be tried.[1] Well overall it is an uncommon condition,[3] it is relatively common in athletes.[1]
Treatment
Treatment is generally by steroid injections.[1] If this is not effective surgery removal may be tried.[1] High quality evidence for surgery is lacking as of 2015.[3]
References
- ^ a b c d e f g h i j k l m n o Hiemstra, LA; Kerslake, S; Irving, C (July 2014). "Anterior knee pain in the athlete". Clinics in sports medicine. 33 (3): 437–59. doi:10.1016/j.csm.2014.03.010. PMID 24993409.
- ^ Dragoo, JL; Johnson, C; McConnell, J (1 January 2012). "Evaluation and treatment of disorders of the infrapatellar fat pad". Sports medicine (Auckland, N.Z.). 42 (1): 51–67. doi:10.2165/11595680-000000000-00000. PMID 22149697.
- ^ a b Rooney, A; Wahba, AJ; Smith, TO; Donell, ST (June 2015). "The surgical treatment of anterior knee pain due to infrapatellar fat pad pathology: A systematic review". Orthopaedics & traumatology, surgery & research : OTSR. 101 (4): 469–75. doi:10.1016/j.otsr.2015.01.019. PMID 25935799.