Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 18, Issue 10, pp 1391–1394 | Cite as

Tumour-like lesions of the infrapatellar fat pad

  • Habib NouriEmail author
  • Ferjani Ben Hmida
  • Moez Ouertatani
  • Mouna Bouaziz
  • Leila Abid
  • Habib Jaafoura
  • Kheireddine Zehi
  • Mondher Mestiri


Three different tumour-like lesions within the infrapatellar fat pad, an osteochondroma, a localised pigmented villonodular synovitis and a synovial cyst are reported. The osteochondroma and the pigmented villonodular synovitis were treated by marginal excision, and the synovial cyst was resected using arthroscopy.


Infrapatellar fat pad Osteochondroma Ganglion cyst Pigmented villonodular Synovitis MRI 


  1. 1.
    Abreu MR, Chung C, Trudell D, Resnick D (2008) Hoffa’s fat pad injuries and their relationship with anterior cruciate ligament tears: new observations based on MR imaging in patients and MR imaging and anatomic correlation in cadavers. Skeletal Radiol 37:301–306CrossRefPubMedGoogle Scholar
  2. 2.
    Bostman O, Karaharju E, Heikkonen L, Holmstrom T (1985) Extraskeletal ossifying chondroma in the knee. Acta Orthop Scand 56:87–89CrossRefPubMedGoogle Scholar
  3. 3.
    Bui-Mansfield LT, Youngberg RA (1997) Intraarticular ganglia of the knee: prevalence, presentation, etiology, and management. Am J Roentg 168:123–127Google Scholar
  4. 4.
    De Bari C, Dell’Accio F, Tylzanowsky P, Luyten FP (2001) Multipotent mesenchymal stem cells from adult human synovial membrane. Arthritis Rheum 44:1928–1942CrossRefPubMedGoogle Scholar
  5. 5.
    Drosos GI, Pozo JL (2005) Large extrasynovial intracapsular ganglia of the knee: a report of 3 cases. Arthroscopy 21:1362–1365CrossRefPubMedGoogle Scholar
  6. 6.
    Duri ZA, Aichroth PM, Dowd G (1996) The fat pad clinical observations. Am J Knee Surg 9:55–66PubMedGoogle Scholar
  7. 7.
    Gallagher J, Tierney P, Murray P, O’Brien M (2005) The infrapatellar fat pad: anatomy and clinical correlations. Knee Surg Sports Traumatol Arthrosc 13:268–272CrossRefPubMedGoogle Scholar
  8. 8.
    Hoffa A (1904) The influence of adipose tissue with regard to the pathology of the knee joint. JAMA 42:795–796Google Scholar
  9. 9.
    Jacobson JA, Lenchik L, Ruhoy MK, Schweitzer ME, Resnick D (1997) MR imaging of the infrapatellar fat pad of Hoffa. Radiographics 17:675–691PubMedGoogle Scholar
  10. 10.
    Krebs V, Parker R (1994) Arthroscopic resection of an extrasynovial ossifying chondroma of the infrapatellar fat pad: end-stage Hoffa’s disease? Arthroscopy 10:301–304CrossRefPubMedGoogle Scholar
  11. 11.
    Magi M, Branca A, Bucca C, Langerame V (1991) Hoffa disease. Ital J Orthop Traumatol 17:211–216PubMedGoogle Scholar
  12. 12.
    Muckle DS, Manahan P (1972) Intraarticular ganglion of the knee. Report of two cases. J Bone Joint Surg Br 54:520–521PubMedGoogle Scholar
  13. 13.
    Ogilvie-Harris DJ, Giddens J (1994) Hoffa’s disease: arthroscopic resection of the infrapatellar fat pad. Arthroscopy 10:184–187CrossRefPubMedGoogle Scholar
  14. 14.
    Patel SJ, Kaplan PA, Dussault RG, Kahler DM (1998) Anatomy and clinical significance of the horizontal cleft in the infrapatellar fat pad of the knee. MR imaging. Am J Roentgenol 170:1551–1555Google Scholar
  15. 15.
    Rizzello G, Franceschi F, Meloni MC, Cristi E, Barnaba SA, Rabitti C, Denaro V (2007) Para-articular osteochondroma of the knee. Arthroscopy 23:910–914CrossRefPubMedGoogle Scholar
  16. 16.
    Saddik D, McNally EG, Richardson M (2004) MRI of Hoffa’s fat pad. Skeletal Radiol 33:433–444CrossRefPubMedGoogle Scholar
  17. 17.
    Sarmiento A, Elkins RW (1975) Giant intra-articular osteochondroma of the knee. J Bone Joint Surg Am 57:560–561PubMedGoogle Scholar
  18. 18.
    Schweitzer M, Falk A, Berthoty D, Mitchell M, Resnik D (1992) Knee effusion :normal distribution of fluid. Am J Roentgenol 159:361–363Google Scholar
  19. 19.
    Sung-Jae K, Sang-Jin S, Nam-Hong C, Eui-Tak C (2000) Arthroscopic treatment for localized pigmented villonodular synovitis of the knee. Clin Orthop Relat Res 379:224–230CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Habib Nouri
    • 1
    Email author
  • Ferjani Ben Hmida
    • 1
  • Moez Ouertatani
    • 1
  • Mouna Bouaziz
    • 2
  • Leila Abid
    • 3
  • Habib Jaafoura
    • 3
  • Kheireddine Zehi
    • 4
  • Mondher Mestiri
    • 1
  1. 1.Department of Adult SurgeryKASSAB’S Institute of Orthopaedics and TraumatologyMannoubaTunisia
  2. 2.Department of RadiologyKASSAB’S Institute of Orthopaedics and TraumatologyMannoubaTunisia
  3. 3.Department of PathologyKASSAB’S Institute of Orthopaedics and TraumatologyMannoubaTunisia
  4. 4.Department of TraumatologyKASSAB’S Institute of Orthopaedics and Traumatology2010MannoubaTunisia

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