Infrapatellar fat pad syndrome

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Infrapatellar fat pad syndrome
Other namesHoffa's disease [1]
Prepatellar bursa.png
Cross section of the human knee
Specialty Orthopedics, sports medicine
SymptomsPain in the front of the knee [2]
CausesTrauma, surgery [1]
Differential diagnosis Patellar tendinopathy, infrapatellar bursitis [2]
Treatment Steroid injections, physical therapy, surgery [2] [1]
FrequencyRelatively common (athletes) [2]

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. [2] Pain is generally just below the kneecap. [2] Symptoms may worsen if the knee is overly straightened or bent for too long a period. [2] Complications may include an inability to fully straighten the knee. [2]

The underlying mechanism may involve bleeding, inflammation, or insufficient space for the fat pad. [2] This may occur as a result of trauma or surgery to the knee. [1] Diagnosis may be supported by magnetic resonance imaging (MRI). [2]

Treatment is generally by steroid injections and physical therapy. [2] [1] If this is not effective surgery removal may be tried. [2] While overall it is an uncommon condition, [3] it is relatively common in athletes. [2]

Treatment

Treatment is generally by steroid injections and physical therapy. [2] [1] If this is not effective surgery removal may be tried. [2] High quality evidence for surgery is lacking as of 2015. [3]

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References

  1. 1 2 3 4 5 6 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.
  2. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 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.
  3. 1 2 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. 101 (4): 469–75. doi: 10.1016/j.otsr.2015.01.019 . PMID   25935799.