Superolateral Hoffa’s Fat Pad Edema in Collegiate Volleyball Players

Mehta, Kaushal; Wissman, Robert D.; England, Eric; dʼHeurle, Albert; Newton, Keith; Kenter, Keith

doi:10.1097/rct.0000000000000301

Cited by 13 publications

(4 citation statements)

References 24 publications

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“…Recently, a relation between patellofemoral malalignment and edema in SHFP has been described. Significant correlations between SHFP edema and PT, LPA, and Insall-Salvati ratio have been reported 1229. In addition, Sebro and Weintraub showed a significant correlation between the presence of SHFP edema and patellar cartilage damage 8.…”

Section: Discussionmentioning

confidence: 89%

Chondromalacia Patella among Military Recruits with Anterior Knee Pain: Prevalence and Association with Patellofemoral Malalignment

Özdemir

Kavak

2019

IJOO

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Background:The aim of this study was to investigate the frequency of chondromalacia patella (CMP) and to evaluate its relation with trochlear morphometric and patellofemoral alignment measurements as well as with edema in superolateral region of Hoffa's fat pad (SHFP) in military recruits with anterior knee pain (AKP).Materials and Methods:Knee magnetic resonance imaging examinations of 288 military recruits with AKP were retrospectively evaluated. Patellar cartilage lesions were graded using modified Noyes system. Quantitative measurements of trochlear morphology (sulcus angle, trochlear sulcus depth, and lateral trochlear inclination [LTI]) and patellofemoral alignment (patellar translation [PT], lateral patellofemoral angle (LPA), Insall-Salvati index, and tibial tuberosity-trochlear groove distance) were made. The SHFP region was assessed for the presence of edema. Mean values of measurements in knees with and without CMP and in knees with early and advanced stage CMP were compared.Results:We found CMP in 169 (58.7%) patients. Patients with CMP demonstrated a significantly greater sulcus angle (P = 0.012), smaller LTI (P = 0.004), greater PT (P = 0.01), smaller LPA (P = 0.036), greater Insall-Salvati ratio (P = 0.034), and higher incidence of SHFP edema (P = 0.001) compared to those without CMP. While none of the measurements were associated with the severity of cartilage damage, the incidence of SHFP edema was significantly correlated with the severity of CMP (P = 0.001).Conclusion:CMP is a common disorder among military recruits with AKP. Patellofemoral malalignment is an important contributory factor in the development of CMP, and the presence of edema in SHFP may be a strong indicator of underlying severe CMP in this population.

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Section: Discussionmentioning

confidence: 89%

Chondromalacia Patella among Military Recruits with Anterior Knee Pain: Prevalence and Association with Patellofemoral Malalignment

Özdemir

Kavak

2019

IJOO

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“…21,23 Clinical correlation is particularly important, as there may be fat pad edema even without symptoms. 42 As seen in the MRI of our dancer (Fig. 1), in the acute phase, there is increased T2 sequence signal due to edema and hemorrhage, an unusual presentation.…”

Section: B Amentioning

confidence: 62%

Hoffa's Disease in a Modern Dancer Case Report and Literature Review

Wang

Costin

2018

j dance med sci

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We present the case of a modern dancer at the university level with left knee pain as a result of Hoffa's disease. A comprehensive literature review of Hoffa's disease indicates that it may be an under-recognized condition. Predisposing factors in dance training include torsion and hyperextension at the knee, particularly in conjunction with pelvic instability and weakness. Clinicians should be cognizant of this differential diagnosis when evaluating dancers with knee pain. We present a detailed progressive rehabilitation protocol including transitional interventions for Hoffa's disease in the dancer.

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“…SHFP edema was also associated with PFJ cartilage damage [4]. In a cross-sectional study involving 16 collegiate volleyball athletes, SHFP edema was found in 50 % of the athletes and was associated with markers of PFJ maltracking [6].…”

Section: Introductionmentioning

confidence: 99%

Association of markers of patellofemoral maltracking to cartilage damage and bone marrow lesions on MRI: Data from the 2016 Olympic Games of Rio De Janeiro

Jarraya

Roemer

Engebretsen

et al. 2021

European Journal of Radiology Open

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Background: Patellofemoral joint (PFJ) disease is a common ailment in elite athletes. Our aim is to report the frequency of superolateral Hoffa's fat pad (SHFP) edema, and PFJ cartilage damage and bone marrow lesions (BML), among Olympian athletes, and to study the association between measurements of trochlear morphology and vertical patellar position and a) PFJ cartilage damage or BML, and b) SHFP edema. Methods: All knee MRI, performed in the Olympic Village and polyclinics, of participating athletes in the 2016 Olympic Games of Rio de Janeiro were included. MRI were scored for PFJ cartilage damage and BML, and SHFP edema. Trochlear morphology measurements included sulcus angle, trochlear angle, lateral trochlear inclination, and medial trochlear inclination. Insall-Salvati ratio was also assessed. Results: One hundred twenty-one knee MRIs were included (62 female, 51.2 %). The highest frequencies of PFJ cartilage damage, combination of PFJ cartilage damage and BML, and SHFP edema were found among Beach Volleyball and Volleyball athletes. SHFP edema was more common among female compared to male Olympian athletes. We found no statistically significant associations between different measurements of trochlear morphology/vertical patellar position, and 1. SHFP edema, and 2. PFJ cartilage damage/BML. Conclusion: SHFP edema and the combination of PFJ cartilage damage and BML are highly frequent among Olympic athletes especially those competing in Beach volleyball and Volleyball. SHFP edema is more common among female athletes. Further studies are needed to determine whether PFJ cartilage damage has a stronger association to sports disciplines rather than trochlear morphology.

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Superolateral Hoffa’s Fat Pad Edema in Collegiate Volleyball Players

Cited by 13 publications

References 24 publications

Chondromalacia Patella among Military Recruits with Anterior Knee Pain: Prevalence and Association with Patellofemoral Malalignment

Chondromalacia Patella among Military Recruits with Anterior Knee Pain: Prevalence and Association with Patellofemoral Malalignment

Hoffa's Disease in a Modern Dancer Case Report and Literature Review

Association of markers of patellofemoral maltracking to cartilage damage and bone marrow lesions on MRI: Data from the 2016 Olympic Games of Rio De Janeiro

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