Impingement of Infrapatellar Fat Pad (Hoffa’s Disease): Results of High-Portal Arthroscopic Resection

Kumar, Deepak; Alvand, Abtin; Beacon, J P

doi:10.1016/j.arthro.2007.05.013

Cited by 66 publications

(72 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For the infrapatellar fat pad, it has been shown that acute or repetitive trauma or surgery can induce hemorrhage and inflammation [6,44], subsequently leading to hypertrophy and impingement [16]. It has been shown that an increase in signal intensity on fluid-sensitive fat-saturated sequences, representing an increase in tissue fluid referred to as edema, is sensitive in the acute phase of the disease [4,5,45].…”

Section: Discussionmentioning

confidence: 99%

“…It fills the gap between the quadriceps tendon, the retropatellar cartilage, and the suprapatellar joint recess, which separates it from the prefemoral fat pad [10][11][12][13]. Like the impingement syndrome of the infrapatellar fat pad, also known as Hoffa's disease [4,5,[14][15][16], abnormalities may also be found in the SPFPs that have typical MRI findings and may be associated with clinical symptoms [10,11,17,18]. However, data on the relevance of MRI findings of the SPFPs in OA are scarce.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Hyperintense signal alteration in the suprapatellar fat pad on MRI is associated with degeneration of the patellofemoral joint over 48 months: data from the Osteoarthritis Initiative

et al. 2017

View full text Add to dashboard Cite

Hyperintense signal alteration in the suprapatellar fat pad on MRI is associated with degeneration of the patellofemoral joint over 48 months: data from the Osteoarthritis Initiative. Results Baseline SPFP signal alterations were found in 51% of the subjects (n = 217), of whom 11% (n = 23) additionally had a mass effect. Progression of cartilage lesions was significantly higher in subjects with signal alteration versus without (adjusted mean increases, 95% CI; patella: 0.29, −0.07 to 0.64 vs −0.04, −0.40 to 0.31; p < 0.001; trochlea: 0.47, 0.16 to 0.77 vs 0.31, 0.01 to 0.61; p = 0.007). BML progression was also more likely in subjects with signal alteration (OR 1.75, 95% CI 1.09 to 2.82; p = 0.021). Mass effect was not associated with joint degeneration and SPFP findings were not associated with clinical worsening (p > 0.18 for all). Conclusion Patellofemoral joint degeneration over 48 months was significantly increased in subjects with SPFP signal alteration, suggesting an association between SPFP abnormalities and the progression of patellofemoral OA. Permalink

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hyperintense signal alteration in the suprapatellar fat pad on MRI is associated with degeneration of the patellofemoral joint over 48 months: data from the Osteoarthritis Initiative

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Subakut ve kronik dönemde yağ yastığında T1 ve T2 ağırlıklı MR görüntülerinde fibrin ve hemosiderin varlığı nedeniyle düşük sinyal tutulumu gözlenir (3,7). Ayrıca hastalara hem teşhis hem de tedavi amaçlı artroskopi de yapılabilmekte-dir (10). Biz yaklaşık 1 yıldır diz ağrısı olan, yakınmaları zamanla artan, fizik muayenesi ve özel testlerinde tanıya yönelik belirgin patolojik değişiklik tespit edilmeyen ve direkt grafisi normal sı-nırlarda olan hastadan diz ekleminin yumuşak doku patolojilerini dışlamak için MRG istedik.…”

Section: Discussionunclassified

A Case Presenting with Anterior Knee Pain: Hoffa Disease

Ataoğlu¹,

Özşahin²,

Beşır³

et al. 2014

Turk J Phys Med Rehab

View full text Add to dashboard Cite

Hoffa's disease is characterized by anterior knee pain secondary to inflammation of the infrapatellar fat pad. It is becoming increasingly diagnosed with the widespread use of magnetic resonance imaging. However, it can be easily under-diagnosed because of the different nomenclatures for the same clinical symptoms. Lack of awareness and knowledge about this disease may lead to incorrect or late diagnosis. In this manuscript, a 24-year-old woman who was admitted with anterior knee pain and diagnosed as Hoffa's disease is presented, and the pathophysiology, diagnosis, and management of this rare condition are discussed.

show abstract

“…When tumors are not present, arthroscopic techniques have been described to resect Hoffa's fat pad. 1,2,4 In patients in whom conservative management has failed, arthroscopic removal of the fat pad is a safe and less invasive way to perform this surgery (Tables 3 and 4). Arthroscopic, subtotal removal of the IFP is less invasive than open resection, and full diagnostic arthroscopy can be performed to evaluate the entire knee joint for potential pathology.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment of Hoffa's fat pad after traumatic injury was originally described by Hoffa in 1904, in which he used an open surgical technique to remove the IFP. 1 Kumar et al 2 described an arthroscopic technique using high anteromedial and anterolateral portals to resect the IFP in patients with Hoffa disease.…”

mentioning

confidence: 99%

Arthroscopic Resection of Fat Pad Lesions and Infrapatellar Contractures

Doner

Noyes

2014

Arthroscopy Techniques

View full text Add to dashboard Cite

The infrapatellar fat pad (IFP), also known as Hoffa's fat pad, may be a common site of pain in the knee because of its susceptibility to injury and its vast innervation and vascular supply. Patients who have trauma to the IFP may undergo a process of hemorrhage, inflammation, and fibrosis that may become painful. Patients with Hoffa's disease in whom conservative treatment with medications, physical therapy, and injections has failed may receive significant pain relief and benefit from undergoing arthroscopic subtotal removal of the IFP. We describe a safe and effective way to perform this procedure allowing excellent visualization through the use of a superolateral viewing portal.

show abstract

Impingement of Infrapatellar Fat Pad (Hoffa’s Disease): Results of High-Portal Arthroscopic Resection

Cited by 66 publications

References 8 publications

Hyperintense signal alteration in the suprapatellar fat pad on MRI is associated with degeneration of the patellofemoral joint over 48 months: data from the Osteoarthritis Initiative

Hyperintense signal alteration in the suprapatellar fat pad on MRI is associated with degeneration of the patellofemoral joint over 48 months: data from the Osteoarthritis Initiative

A Case Presenting with Anterior Knee Pain: Hoffa Disease

Arthroscopic Resection of Fat Pad Lesions and Infrapatellar Contractures

Contact Info

Product

Resources

About