The management of solitary tumours of Hoffa's fat pad

Dean, Benjamin; Reed, DW; Matthews, Jon; Pandit, Hemant; McNally, Eugene; Athanasou, Nick; Gibbons, C. L. M. H.

doi:10.1016/j.knee.2010.02.002

Cited by 17 publications

(21 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Dean et al 8 discussed their series of 19 patients in whom they performed open excision of solitary tumors of Hoffa's fat pad. They used open resection because of the presence of a tumor and thus needed to perform excision of the entire fat pad to limit recurrence.…”

Section: Discussionmentioning

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

Section: Discussionmentioning

confidence: 99%

Arthroscopic Resection of Fat Pad Lesions and Infrapatellar Contractures

Doner

Noyes

2014

Arthroscopy Techniques

View full text Add to dashboard Cite

show abstract

“…Needle biopsy revealed synovial sarcoma. She was treated with preoperative chemotherapy and wide resection [5]. Previous reports in the literature were mainly case reports [8][9][10] and small case series [11,12].…”

Section: Group Under 16 Years Oldmentioning

confidence: 99%

“…Previous reports in the literature were mainly case reports [8][9][10] and small case series [11,12]. The authors presented 19 patients (only one under 16 years) with benign HFP tumours, all treated by planned surgical excision with good results and few complications [5]. The most common diagnoses were PVNS (five cases) and ganglion cysts (four cases).…”

Section: Group Under 16 Years Oldmentioning

confidence: 99%

“…5) [5]. Different types of resection have been described for HFP and knee tumours [11,16], but complete excision is not always possible arthroscopically.…”

Section: Group Under 16 Years Oldmentioning

confidence: 99%

“…Abnormalities within it most commonly are the consequences of trauma and degeneration, but inflammatory and neoplastic diseases can arise in the fat pad [3,4]. A variety of intrinsic and extrinsic tumours and tumourlike conditions may affect the infrapatellar HFP and have been already presented in the literature [3,5]. The majority are benign lesions, although malignant tumours have been reported [6,7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Hoffa’s fat pad tumours: What do we know about them?

Albergo

Gaston

Davies

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose We report on a group of patients with tumours in the Hoffa's fat pad (HFP), their clinical presentation, histological type and treatment, including two synovial sarcomas with their clinical follow-up, which have not been described previously in the literature. Methods We performed a retrospective review of our prospectively collected database of 25 cases of HFP tumours with at least six months follow-up. Results The gender, age at presentation (over and under 16 years of age), clinical features, history of trauma, treatment chosen, and complications were recorded. The mean age of the patients was 32 years (three to 47). Six patients were under 16 years old. Pain was the most common symptom, present in 92 % (n =23/25). The final diagnoses included 23 (92 %) benign tumours and two (8 %) malignant tumours. The most common benign tumour was pigmented villonodular synovitis (PVNS) (48 % n =12). The two malignant tumours were synovial sarcomas and both presented in patients under 16 years old. Conclusions Hoffa's fat pad tumours are an uncommon and rarely diagnosed group of lesions that can be misinterpreted as any knee pathology. Although the majority of HFP tumours are benign, malignant tumours should be considered in the differential diagnosis for the paediatric population.

show abstract

MR imaging of anterior knee pain: a pictorial essay

Skiadas

Perdikakis

Plotas

et al. 2012

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Anterior knee pathology is a frequent cause of joint pain and limitation of function and mobility among patients presenting to an orthopaedic department. Proper recognition and treatment of pathologic conditions depend on the knowledge of normal anatomy and of the various abnormalities, which affect this area of the knee and may present with anterior knee pain. A broad array of benign and malignant processes may be manifested as anterior knee discomfort, and this common clinical entity is among the most frequent indications for MR imaging of the lower extremities. Clinical history and physical examination are also of paramount importance. The disorders can be categorized and differentiated primarily according to their location. Traumatic or non-traumatic disorders of the patella, patellar retinacula, quadriceps and patellar tendons and supra or infrapatellar fat pad can be the source of symptoms. This article includes a comprehensive pictorial essay of the characteristic MR features of common and uncommon disorders causing anterior knee pain. For accurate assessment of the aforementioned clinical problem, a radiologist should be able to identify typical MR imaging patterns that contribute in establishing the correct diagnosis and thus tailoring the appropriate therapy. Level of evidence IV.

show abstract

The management of solitary tumours of Hoffa's fat pad

Cited by 17 publications

References 13 publications

Arthroscopic Resection of Fat Pad Lesions and Infrapatellar Contractures

Arthroscopic Resection of Fat Pad Lesions and Infrapatellar Contractures

Hoffa’s fat pad tumours: What do we know about them?

MR imaging of anterior knee pain: a pictorial essay

Contact Info

Product

Resources

About