Ganglion cyst arising from the infrapatellar fat pad in a child

Sugiura, Kosuke; Suzue, Naoto; Matsuura, Tetsuya; Hamada, Daisuke; Goto, Tomohiro; Takata, Yoichiro; Sairyo, Koichi

doi:10.2152/jmi.62.245

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…Most of them originated from the anterior or posterior cruciate ligament. In contrast, only three cases originated from the infra-patellar fat pad [20]. Sugiura et al reported a ganglion cyst arising from the infra-patellar fat pad of a 10-year-old boy [14].…”

Section: Discussionmentioning

confidence: 99%

Giant infrapatellar ganglion cyst of Hoffa's fat pad

Miljko

Markotić

Huseinbegović

et al. 2019

European Journal of Radiology Open

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We present the case of a 36-year-old woman who works as a kindergarten teacher, often she is kneeling on her knees due to the nature of the job. Since a year ago, she noticed that her right knee was swelling. She had an orthopaedic examination when she could no longer bend her knee. Inspection and palpation revealed the swelling of the anterior and anterior-lateral aspect of the knee. MRI imaging revealed a large, sharply defined, lobulated lesion of the infrapatellar fat pad. After the surgical incision, a lobular lesion was found and surgically removed. Histological analysis confirmed a ganglion cyst.

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Section: Discussionmentioning

confidence: 99%

Giant infrapatellar ganglion cyst of Hoffa's fat pad

Miljko

Markotić

Huseinbegović

et al. 2019

European Journal of Radiology Open

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“…A ganglion cyst in the knee joint often arises from ACL or PCL [ 5 ], but rarely arises from the infrapatellar fat pad. Sugiura et al reported the ganglion cyst arising from the infrapatellar fat pad of 10-year-old boy [ 6 ]. Sloane et al .…”

Section: Discussionmentioning

confidence: 99%

A Case of Infrapatellar Fat Pad Ganglion of the Knee

Takahashi

Kimura

Ohsawa

et al. 2017

TOORTHJ

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Introduction:A ganglion cyst can induce symptoms around the knee and should be considered as an intra-articular mass in differential diagnosis.Case Presentation:A 22-year-old female presented with a persistent medial knee joint pain in her left knee for 2 years. There was soft tissue swelling on the anteromedial aspect of the infrapatellar region on her left knee. Lachman and McMurray tests were negative. MRI showed a multilobular cyst in the infrapatellar fat pad with T1 low intensity and T2 STIR high intensity. The cyst was not attached to either meniscus. ACL and PCL looked normal.During surgery, the cyst was found to arise from the intra-patellar fat pad and was not attached to the menisci or synovium. The cyst was completely resected.Histological findings showed a multilobular cyst with a glassy fibrous tissue wall and clear jelly-like consistency, confirming the diagnosis of a ganglion. The patient recovered asymptomatically and has been without recurrence 7 years postoperatively.Conclusion:Differential diagnoses of an infrapatellar swelling are a meniscal cyst, synovial cyst, or ganglion. Most cases of cysts around the knee generate from fluid collection through meniscal tears. A ganglion cyst is a synovium-lined structure and is common around the wrist joint, but rare in the knee joint. A ganglion cyst in the knee joint often arises from ACL or PCL, but rarely arises from the infrapatellar fat pad. A ganglion cyst is one of the differential diagnoses of parameniscal cysts around the knee. We recommended an open resection with arthroscopic examination.

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“…Three reports detailed ganglion cysts and pigmented villonodular synovitis, while no studies were identified with a primary focus on fat pad impingement syndrome in this population, with the exception of one case report on a child with HD. 52,[92][93][94] Two limited epidemiological studies on sports injuries in adolescents reported a prevalence of 0.4-4.5% for fat pad injury as a cause of anterior knee pain. 51,54 One study also detailed herniation of the IFP through the patellar retinaculum as a rare cause of an asymptomatic anterior knee mass in children.…”

Section: Epidemiologymentioning

confidence: 99%

Fat Pads as a Cause of Adolescent Anterior Knee Pain

Foster¹,

Dwek²,

Bomar³

et al. 2021

Journal of the Pediatric Orthopaedic Society of North America

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Anterior knee pain is one of the most frequently encountered symptoms in pediatric sports medicine. The fat pad is a structure with mounting evidence supporting its dynamic involvement in many pathological states in the anterior knee. There are three peripatellar fat pads that occupy much of the extra-synovial space of the knee. This review explores the anatomy, innervation, vasculature, function, imaging, and pathology of these fat pads. Fat pad pathology is likely underestimated given the limited literature on such disease in the pediatric population. In particular, the prefemoral fat pad is the least described of the fat pads with only a few reports detailing chronic pathological processes. To highlight the relevance of the fat pad, particularly in the pediatric population, we describe an atypical case of a self-limiting acute prefemoral fat pad impingement due to a hyperextension injury in a young athlete.

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Ganglion cyst arising from the infrapatellar fat pad in a child

Cited by 4 publications

References 10 publications

Giant infrapatellar ganglion cyst of Hoffa's fat pad

Giant infrapatellar ganglion cyst of Hoffa's fat pad

A Case of Infrapatellar Fat Pad Ganglion of the Knee

Fat Pads as a Cause of Adolescent Anterior Knee Pain

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